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 $630.96 Median $1,071.52 Typical High $2,454.71 | Facility | None | $630.96 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $933.25 | Professional | None | $776.25 | $912.01 | $933.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,318.26 Median $2,884.03 Typical High $3,981.07 | Facility | None | $1,318.26 | $2,884.03 | $3,981.07 |
BCBS Arkansas Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Professional | None | $851.14 | $851.14 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,288.25 Typical High $1,659.59 | Facility | None | $380.19 | $1,288.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $1,584.89 | Professional | None | $616.60 | $954.99 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $5,754.40 | Facility | None | $1,412.54 | $1,995.26 | $5,754.40 |
United Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,584.89 | Professional | None | $741.31 | $870.96 | $1,584.89 |
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 $389.05 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $389.05 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $154.88 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $575.44 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $77.62 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $537.03 | $645.65 | $645.65 |
Where Arkansas sits
The same service costs 6.9 times more in Oklahoma 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· 20th of 51
$1,318
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.