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 $954.99 Median $1,380.38 Typical High $2,454.71 | Facility | None | $954.99 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,202.26 | Professional | None | $1,047.13 | $1,071.52 | $1,202.26 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,621.81 Median $3,235.94 Typical High $4,466.84 | Facility | None | $1,621.81 | $3,235.94 | $4,466.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,096.48 | Professional | None | $831.76 | $831.76 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,584.89 Typical High $1,949.84 | Facility | None | $588.84 | $1,584.89 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,819.70 | Professional | None | $602.56 | $1,122.02 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,677.35 | Facility | None | $1,096.48 | $1,513.56 | $4,677.35 |
United Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,548.82 | Professional | None | $741.31 | $851.14 | $1,548.82 |
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 $524.81 Median $537.03 Typical High $562.34 | Professional | 52 · Reduced service | $524.81 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $213.80 Typical High $223.87 | Professional | 53 · Discontinued | $208.93 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $812.83 Typical High $831.76 | Professional | 54 · Surgery only | $794.33 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $162.18 Typical High $165.96 | Professional | 55 · Aftercare only | $158.49 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $107.15 Typical High $112.20 | Professional | 56 · Pre-op care only | $104.71 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $758.58 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $741.31 | $758.58 | $776.25 |
Where Arkansas sits
The same service costs 6.6 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· 16th of 51
$1,479
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.