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 $398.11 Median $1,479.11 Typical High $2,238.72 | Facility | None | $398.11 | $1,479.11 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $1,047.13 Typical High $1,584.89 | Professional | None | $398.11 | $1,047.13 | $1,584.89 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,949.84 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $1,862.09 | Professional | None | $323.59 | $426.58 | $1,862.09 |
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 $398.11 Median $616.60 Typical High $2,344.23 | Professional | None | $398.11 | $616.60 | $2,344.23 |
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 $309.03 Median $1,148.15 Typical High $2,754.23 | Professional | None | $309.03 | $1,148.15 | $2,754.23 |
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 $194.98 Median $239.88 Typical High $794.33 | Professional | 52 · Reduced service | $194.98 | $239.88 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $95.50 Typical High $316.23 | Professional | 53 · Discontinued | $79.43 | $95.50 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $354.81 Typical High $1,202.26 | Professional | 54 · Surgery only | $295.12 | $354.81 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $70.79 Typical High $239.88 | Professional | 55 · Aftercare only | $58.88 | $70.79 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $47.86 Typical High $158.49 | Professional | 56 · Pre-op care only | $39.81 | $47.86 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $331.13 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $275.42 | $331.13 | $1,122.02 |
Where Arkansas sits
The same service costs 5.8 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· 21st of 51
$1,585
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.