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 $933.25 Median $1,380.38 Typical High $2,454.71 | Facility | None | $933.25 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $977.24 | Professional | None | $912.01 | $933.25 | $977.24 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,454.71 Median $4,786.30 Typical High $6,606.93 | Facility | None | $2,454.71 | $4,786.30 | $6,606.93 |
BCBS Arkansas Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $954.99 | Professional | None | $724.44 | $724.44 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,511.89 Typical High $3,090.30 | Facility | None | $588.84 | $2,511.89 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $977.24 Typical High $1,584.89 | Professional | None | $537.03 | $977.24 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,348.96 | Professional | None | $630.96 | $741.31 | $1,348.96 |
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 $457.09 Median $467.74 Typical High $489.78 | Professional | 52 · Reduced service | $457.09 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | 53 · Discontinued | $186.21 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $707.95 Typical High $724.44 | Professional | 54 · Surgery only | $691.83 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $141.25 Typical High $144.54 | Professional | 55 · Aftercare only | $138.04 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $93.33 Typical High $97.72 | Professional | 56 · Pre-op care only | $91.20 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $660.69 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $645.65 | $660.69 | $676.08 |
Where Arkansas sits
The same service costs 8.7 times more in Oklahoma 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· 11th of 51
$1,585
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.