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 $575.44 Median $1,513.56 Typical High $2,454.71 | Facility | None | $575.44 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $575.44 | Professional | None | $524.81 | $575.44 | $575.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $4,168.69 | Facility | None | $2,344.23 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None | $467.74 | $467.74 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,995.26 Typical High $2,630.27 | Facility | None | $691.83 | $1,995.26 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $741.31 Typical High $891.25 | Professional | None | $363.08 | $741.31 | $891.25 |
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 $436.52 Median $588.84 Typical High $1,000.00 | Professional | None | $436.52 | $588.84 | $1,000.00 |
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 $263.03 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $263.03 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $104.71 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $398.11 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $79.43 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $52.48 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $371.54 | $398.11 | $398.11 |
Where Arkansas sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 5th of 51
$1,778
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.