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 $223.87 Median $1,230.27 Typical High $2,041.74 | Facility | None | $223.87 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $323.59 | Professional | None | $223.87 | $275.42 | $323.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $269.15 Median $2,137.96 Typical High $2,951.21 | Facility | None | $269.15 | $2,137.96 | $2,951.21 |
BCBS Arkansas Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $436.52 | Professional | None | $213.80 | $281.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $263.03 Typical High $524.81 | Facility | None | $223.87 | $263.03 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $457.09 | Professional | None | $229.09 | $331.13 | $457.09 |
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 $181.97 Median $316.23 Typical High $549.54 | Professional | None | $181.97 | $316.23 | $549.54 |
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 $112.20 Median $125.89 Typical High $162.18 | Professional | 52 · Reduced service | $112.20 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $64.57 | Professional | 53 · Discontinued | $44.67 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $186.21 Typical High $245.47 | Professional | 54 · Surgery only | $165.96 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $38.02 Typical High $48.98 | Professional | 55 · Aftercare only | $33.11 | $38.02 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $25.12 Typical High $32.36 | Professional | 56 · Pre-op care only | $22.39 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $173.78 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $154.88 | $173.78 | $229.09 |
Where Arkansas sits
The same service costs 4.3 times more in Wyoming 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· 33rd of 51
$331
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.