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 $457.09 Median $1,380.38 Typical High $2,454.71 | Facility | None | $457.09 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | None | $457.09 | $457.09 | $501.19 |
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 $416.87 Median $416.87 Typical High $549.54 | Professional | None | $416.87 | $416.87 | $549.54 |
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 $316.23 Median $645.65 Typical High $707.95 | Professional | None | $316.23 | $645.65 | $707.95 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $3,388.44 | Facility | None | $794.33 | $1,148.15 | $3,388.44 |
United Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $812.83 | Professional | None | $371.54 | $436.52 | $812.83 |
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 $229.09 Median $229.09 Typical High $251.19 | Professional | 52 · Reduced service | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $93.33 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $380.19 | Professional | 54 · Surgery only | $346.74 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $354.81 |
Where Arkansas sits
The same service costs 10.2 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· 8th of 51
$977
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.