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 $398.11 Median $1,380.38 Typical High $2,818.38 | Facility | None | $398.11 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $426.58 | Professional | None | $389.05 | $407.38 | $426.58 |
BCBS 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 Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $549.54 | Professional | None | $363.08 | $416.87 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $1,949.84 | Facility | None | $831.76 | $1,584.89 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $562.34 Typical High $602.56 | Professional | None | $309.03 | $562.34 | $602.56 |
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 $323.59 Median $398.11 Typical High $741.31 | Professional | None | $323.59 | $398.11 | $741.31 |
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 $199.53 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $302.00 Typical High $316.23 | Professional | 54 · Surgery only | $295.12 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $61.66 Typical High $63.10 | Professional | 55 · Aftercare only | $60.26 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $40.74 Typical High $42.66 | Professional | 56 · Pre-op care only | $39.81 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $281.84 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $275.42 | $281.84 | $295.12 |
Where Arkansas sits
The same service costs 3.8 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· 16th of 51
$603
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.