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 $489.78 Median $1,513.56 Typical High $2,454.71 | Facility | None | $489.78 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $489.78 | Professional | None | $371.54 | $489.78 | $489.78 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,621.81 Median $3,630.78 Typical High $4,897.79 | Facility | None | $1,621.81 | $3,630.78 | $4,897.79 |
BCBS Arkansas Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $562.34 | Professional | None | $426.58 | $426.58 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,584.89 Typical High $1,949.84 | Facility | None | $724.44 | $1,584.89 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $588.84 Typical High $758.58 | Professional | None | $363.08 | $588.84 | $758.58 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,786.30 | Facility | None | $1,096.48 | $1,513.56 | $4,786.30 |
United Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $741.31 | Professional | None | $354.81 | $398.11 | $741.31 |
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 $186.21 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $186.21 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $74.13 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $281.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $56.23 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $37.15 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $263.03 | $338.84 | $338.84 |
Where Arkansas sits
The same service costs 5.6 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· 24th of 51
$562
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.