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 $245.47 Median $1,000.00 Typical High $2,041.74 | Facility | None | $245.47 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $275.42 | Professional | None | $245.47 | $245.47 | $275.42 |
BCBS Arkansas Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $371.54 | Facility | None | $144.54 | $269.15 | $371.54 |
BCBS Arkansas Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $338.84 | Professional | None | $229.09 | $257.04 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $512.86 | Facility | None | $123.03 | $147.91 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $407.38 | Professional | None | $239.88 | $288.40 | $407.38 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $426.58 | Professional | None | $199.53 | $239.88 | $426.58 |
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 $123.03 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | 54 · Surgery only | $186.21 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $173.78 | $173.78 | $190.55 |
Where Arkansas sits
The same service costs 4.3 times more in Alaska than in Florida. 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· 33rd of 51
$269
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.