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 $467.74 Median $1,380.38 Typical High $2,454.71 | Facility | None | $467.74 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | None | $467.74 | $467.74 | $512.86 |
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 $426.58 Median $426.58 Typical High $562.34 | Professional | None | $426.58 | $426.58 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $1,949.84 | Facility | None | $562.34 | $1,513.56 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $707.95 Typical High $724.44 | Professional | None | $323.59 | $707.95 | $724.44 |
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 $380.19 Median $446.68 Typical High $831.76 | Professional | None | $380.19 | $446.68 | $831.76 |
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 $234.42 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | 53 · Discontinued | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $389.05 | Professional | 54 · Surgery only | $354.81 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $363.08 |
Where Arkansas sits
The same service costs 7.1 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· 8th of 51
$955
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.