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 $199.53 Median $1,000.00 Typical High $2,041.74 | Facility | None | $199.53 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $263.03 | Professional | None | $199.53 | $223.87 | $263.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $3,981.07 | Facility | None | $1,584.89 | $2,884.03 | $3,981.07 |
BCBS Arkansas Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $316.23 | Professional | None | $181.97 | $239.88 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,513.56 Typical High $1,949.84 | Facility | None | $380.19 | $1,513.56 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $371.54 | Professional | None | $181.97 | $302.00 | $371.54 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $389.05 | Professional | None | $162.18 | $208.93 | $389.05 |
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 $100.00 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $100.00 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $39.81 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $165.96 Typical High $194.98 | Professional | 54 · Surgery only | $151.36 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $33.11 Typical High $38.90 | Professional | 55 · Aftercare only | $30.20 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $22.39 Typical High $25.70 | Professional | 56 · Pre-op care only | $19.95 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $154.88 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $141.25 | $154.88 | $181.97 |
Where Arkansas sits
The same service costs 4.4 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· 18th of 51
$324
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.