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 $1,202.26 Median $1,258.93 Typical High $1,380.38 | Professional | None | $1,202.26 | $1,258.93 | $1,380.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,570.88 Median $8,709.64 Typical High $12,022.64 | Facility | None | $4,570.88 | $8,709.64 | $12,022.64 |
BCBS Arkansas Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,258.93 | Professional | None | $954.99 | $954.99 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,570.88 Typical High $5,370.32 | Facility | None | $588.84 | $4,570.88 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,348.96 Typical High $2,089.30 | Professional | None | $691.83 | $1,348.96 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,819.70 | Professional | None | $851.14 | $977.24 | $1,819.70 |
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 $602.56 Median $630.96 Typical High $645.65 | Professional | 52 · Reduced service | $602.56 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $251.19 Typical High $257.04 | Professional | 53 · Discontinued | $239.88 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $933.25 Typical High $977.24 | Professional | 54 · Surgery only | $912.01 | $933.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $186.21 Typical High $194.98 | Professional | 55 · Aftercare only | $181.97 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $125.89 Typical High $128.82 | Professional | 56 · Pre-op care only | $120.23 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $870.96 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $851.14 | $870.96 | $912.01 |
Where Arkansas sits
The same service costs 6.3 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· 18th of 51
$1,622
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.