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 $954.99 Median $1,621.81 Typical High $2,454.71 | Facility | None | $954.99 | $1,621.81 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,621.81 | $1,621.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,019.95 Median $6,309.57 Typical High $8,511.38 | Facility | None | $3,019.95 | $6,309.57 | $8,511.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,479.11 | $1,621.81 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,630.78 Typical High $4,466.84 | Facility | None | $562.34 | $3,630.78 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,344.23 Typical High $2,818.38 | Professional | None | $1,258.93 | $2,344.23 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $2,630.27 | Professional | None | $1,096.48 | $1,380.38 | $2,630.27 |
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 $630.96 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $630.96 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $251.19 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $933.25 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $870.96 | $1,122.02 | $1,122.02 |
Where Arkansas sits
The same service costs 11.0 times more in Alaska than in Texas. 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· 21st of 51
$1,950
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.