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 $977.24 Median $1,380.38 Typical High $2,454.71 | Facility | None | $977.24 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $977.24 | Professional | None | $954.99 | $977.24 | $977.24 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,466.84 | Facility | None | $3,235.94 | $3,235.94 | $4,466.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | None | $758.58 | $758.58 | $1,000.00 |
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 $549.54 Median $1,023.29 Typical High $1,659.59 | Professional | None | $549.54 | $1,023.29 | $1,659.59 |
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 $676.08 Median $776.25 Typical High $1,412.54 | Professional | None | $676.08 | $776.25 | $1,412.54 |
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 $478.63 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $478.63 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $190.55 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $724.44 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $144.54 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $95.50 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $676.08 | $691.83 | $691.83 |
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· 14th of 51
$1,288
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.