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 $1,698.24 Typical High $2,454.71 | Facility | None | $954.99 | $1,698.24 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,819.70 | $1,862.09 | $1,862.09 |
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 $1,412.54 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,412.54 | $1,862.09 |
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 $1,047.13 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,047.13 | $1,949.84 | $3,162.28 |
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 $1,288.25 Median $1,479.11 Typical High $2,691.53 | Professional | None | $1,288.25 | $1,479.11 | $2,691.53 |
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 $912.01 Median $933.25 Typical High $954.99 | Professional | 52 · Reduced service | $912.01 | $933.25 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $371.54 Typical High $389.05 | Professional | 53 · Discontinued | $363.08 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,412.54 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,348.96 | $1,412.54 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $281.84 Typical High $288.40 | Professional | 55 · Aftercare only | $269.15 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $186.21 Typical High $194.98 | Professional | 56 · Pre-op care only | $181.97 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,318.26 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,318.26 | $1,348.96 |
Where Arkansas sits
The same service costs 5.8 times more in Alaska 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· 21st of 51
$2,239
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.