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 $741.31 Median $1,230.27 Typical High $2,041.74 | Facility | None | $741.31 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $933.25 | Professional | None | $741.31 | $912.01 | $933.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,754.23 Median $5,370.32 Typical High $7,413.10 | Facility | None | $2,754.23 | $5,370.32 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,288.25 | Professional | None | $707.95 | $954.99 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,630.27 Typical High $3,235.94 | Facility | None | $562.34 | $2,630.27 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,412.54 | Professional | None | $537.03 | $758.58 | $1,412.54 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,584.89 | Professional | None | $602.56 | $831.76 | $1,584.89 |
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 $371.54 Median $426.58 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $169.82 Typical High $186.21 | Professional | 53 · Discontinued | $147.91 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $630.96 Typical High $707.95 | Professional | 54 · Surgery only | $549.54 | $630.96 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $128.82 Typical High $141.25 | Professional | 55 · Aftercare only | $109.65 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $85.11 Typical High $93.33 | Professional | 56 · Pre-op care only | $74.13 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $588.84 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $512.86 | $588.84 | $660.69 |
Where Arkansas sits
The same service costs 5.2 times more in Alaska 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· 27th of 51
$1,023
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.