How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $457.09 Median $1,479.11 Typical High $2,041.74 | Facility | None | $457.09 | $1,479.11 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $1,479.11 | Professional | None | $446.68 | $851.14 | $1,479.11 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,548.82 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,548.82 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $1,584.89 | Professional | None | $371.54 | $501.19 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,479.11 Typical High $1,819.70 | Facility | None | $588.84 | $1,479.11 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $2,187.76 | Professional | None | $457.09 | $707.95 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,096.48 | $1,513.56 | $4,466.84 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,174.90 Typical High $2,344.23 | Professional | None | $363.08 | $1,174.90 | $2,344.23 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $275.42 Typical High $741.31 | Professional | 52 · Reduced service | $229.09 | $275.42 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $109.65 Typical High $302.00 | Professional | 53 · Discontinued | $91.20 | $109.65 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $407.38 Typical High $1,122.02 | Professional | 54 · Surgery only | $338.84 | $407.38 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $81.28 Typical High $223.87 | Professional | 55 · Aftercare only | $67.61 | $81.28 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $54.95 Typical High $147.91 | Professional | 56 · Pre-op care only | $45.71 | $54.95 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $380.19 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $316.23 | $380.19 | $1,047.13 |
Where Arkansas sits
The same service costs 4.4 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arkansas· 17th of 51
$1,549
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.