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 $213.80 Median $1,071.52 Typical High $2,041.74 | Facility | None | $213.80 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $323.59 | Professional | None | $190.55 | $245.47 | $323.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $218.78 Median $2,884.03 Typical High $3,981.07 | Facility | None | $218.78 | $2,884.03 | $3,981.07 |
BCBS Arkansas Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Professional | None | $173.78 | $229.09 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $758.58 | Facility | None | $165.96 | $208.93 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $371.54 | Professional | None | $158.49 | $239.88 | $371.54 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $380.19 | Professional | None | $158.49 | $245.47 | $380.19 |
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 $107.15 Median $120.23 Typical High $158.49 | Professional | 52 · Reduced service | $107.15 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $64.57 | Professional | 53 · Discontinued | $42.66 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $181.97 Typical High $239.88 | Professional | 54 · Surgery only | $158.49 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $36.31 Typical High $47.86 | Professional | 55 · Aftercare only | $31.62 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $24.55 Typical High $32.36 | Professional | 56 · Pre-op care only | $21.38 | $24.55 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $169.82 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $147.91 | $169.82 | $223.87 |
Where Arkansas sits
The same service costs 3.6 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· 34th of 51
$245
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.