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 $263.03 Median $1,071.52 Typical High $2,041.74 | Facility | None | $263.03 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $363.08 | Professional | None | $263.03 | $295.12 | $363.08 |
BCBS Arkansas Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $630.96 | Facility | None | $288.40 | $467.74 | $630.96 |
BCBS Arkansas Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $407.38 | Professional | None | $213.80 | $281.84 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $331.13 Typical High $758.58 | Facility | None | $269.15 | $331.13 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $512.86 | Professional | None | $199.53 | $275.42 | $512.86 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $776.25 | Facility | None | $79.43 | $131.83 | $776.25 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $549.54 | Professional | None | $194.98 | $281.84 | $549.54 |
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 $131.83 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $131.83 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $56.23 Typical High $74.13 | Professional | 53 · Discontinued | $52.48 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $208.93 Typical High $275.42 | Professional | 54 · Surgery only | $199.53 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $42.66 Typical High $54.95 | Professional | 55 · Aftercare only | $39.81 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $28.18 Typical High $36.31 | Professional | 56 · Pre-op care only | $26.30 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $194.98 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $186.21 | $194.98 | $257.04 |
Where Arkansas sits
The same service costs 3.7 times more in Wisconsin than in Utah. 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· 38th of 51
$309
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.