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 $912.01 Median $1,698.24 Typical High $2,818.38 | Facility | None | $912.01 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $912.01 | Professional | None | $707.95 | $912.01 | $912.01 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Facility | None | $5,248.07 | $5,248.07 | $7,244.36 |
BCBS Arkansas Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | None | $794.33 | $794.33 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,754.23 Typical High $3,388.44 | Facility | None | $831.76 | $2,754.23 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,348.96 | Professional | None | $676.08 | $1,122.02 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $8,511.38 | Facility | None | $1,659.59 | $2,511.89 | $8,511.38 |
United Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,412.54 | Professional | None | $676.08 | $741.31 | $1,412.54 |
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 $354.81 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $354.81 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $537.03 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $107.15 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $70.79 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $501.19 | $630.96 | $630.96 |
Where Arkansas sits
The same service costs 25.1 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· 24th 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.