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 $691.83 Median $1,380.38 Typical High $2,454.71 | Facility | None | $691.83 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | None | $691.83 | $691.83 | $741.31 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $6,456.54 | Facility | None | $4,677.35 | $4,677.35 | $6,456.54 |
BCBS Arkansas Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,089.30 Typical High $2,570.40 | Facility | None | $588.84 | $2,089.30 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $954.99 Typical High $1,047.13 | Professional | None | $457.09 | $954.99 | $1,047.13 |
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 $549.54 Median $645.65 Typical High $1,174.90 | Professional | None | $549.54 | $645.65 | $1,174.90 |
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 $346.74 Median $346.74 Typical High $371.54 | Professional | 52 · Reduced service | $346.74 | $346.74 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $147.91 | Professional | 53 · Discontinued | $138.04 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | 54 · Surgery only | $512.86 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $524.81 |
Where Arkansas sits
The same service costs 6.2 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· 13th of 51
$1,148
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.