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 $331.13 Median $1,174.90 Typical High $2,454.71 | Facility | None | $331.13 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $512.86 | Professional | None | $331.13 | $380.19 | $512.86 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,000.00 Median $2,137.96 Typical High $2,951.21 | Facility | None | $1,000.00 | $2,137.96 | $2,951.21 |
BCBS Arkansas Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $630.96 | Professional | None | $309.03 | $416.87 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,288.25 | Facility | None | $831.76 | $1,023.29 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $630.96 | Professional | None | $323.59 | $436.52 | $630.96 |
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 $269.15 Median $416.87 Typical High $741.31 | Professional | None | $269.15 | $416.87 | $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 $165.96 Median $181.97 Typical High $257.04 | Professional | 52 · Reduced service | $165.96 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $102.33 | Professional | 53 · Discontinued | $66.07 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $275.42 Typical High $380.19 | Professional | 54 · Surgery only | $245.47 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $54.95 Typical High $75.86 | Professional | 55 · Aftercare only | $50.12 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $36.31 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.11 | $36.31 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $257.04 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $229.09 | $257.04 | $354.81 |
Where Arkansas sits
The same service costs 5.5 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· 22nd of 51
$513
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.