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 $302.00 Median $1,071.52 Typical High $2,454.71 | Facility | None | $302.00 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | None | $245.47 | $302.00 | $302.00 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,348.96 Median $2,630.27 Typical High $3,548.13 | Facility | None | $1,348.96 | $2,630.27 | $3,548.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $380.19 | Professional | None | $281.84 | $281.84 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,318.26 Typical High $1,621.81 | Facility | None | $588.84 | $1,318.26 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $457.09 | Professional | None | $234.42 | $354.81 | $457.09 |
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 $204.17 Median $251.19 Typical High $457.09 | Professional | None | $204.17 | $251.19 | $457.09 |
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 $123.03 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $186.21 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $37.15 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $24.55 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $208.93 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $173.78 | $208.93 | $208.93 |
Where Arkansas sits
The same service costs 5.2 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· 29th of 51
$324
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.