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 $218.78 Median $1,000.00 Typical High $2,454.71 | Facility | None | $218.78 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $239.88 | Professional | None | $204.17 | $218.78 | $239.88 |
BCBS Arkansas Setting Facility Modifier None Typical Low $93.33 Median $1,905.46 Typical High $2,570.40 | Facility | None | $93.33 | $1,905.46 | $2,570.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $251.19 | Professional | None | $165.96 | $190.55 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $1,000.00 | Facility | None | $81.28 | $95.50 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $354.81 | Professional | None | $154.88 | $251.19 | $354.81 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $346.74 | Professional | None | $147.91 | $181.97 | $346.74 |
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 $102.33 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $162.18 Typical High $181.97 | Professional | 54 · Surgery only | $151.36 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $32.36 Typical High $36.31 | Professional | 55 · Aftercare only | $30.20 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $21.88 Typical High $23.99 | Professional | 56 · Pre-op care only | $20.42 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $151.36 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $141.25 | $151.36 | $169.82 |
Where Arkansas sits
The same service costs 4.9 times more in Oklahoma than in Florida. 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· 26th of 51
$251
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.