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 $724.44 Median $1,513.56 Typical High $2,454.71 | Facility | None | $724.44 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $724.44 | Professional | None | $562.34 | $724.44 | $724.44 |
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 $645.65 Median $645.65 Typical High $851.14 | Professional | None | $645.65 | $645.65 | $851.14 |
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 $524.81 Median $891.25 Typical High $1,071.52 | Professional | None | $524.81 | $891.25 | $1,071.52 |
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 $512.86 Median $602.56 Typical High $1,096.48 | Professional | None | $512.86 | $602.56 | $1,096.48 |
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 $281.84 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $281.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $112.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $416.87 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $83.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $56.23 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $389.05 | $512.86 | $512.86 |
Where Arkansas sits
The same service costs 5.9 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· 22nd of 51
$832
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.