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 $29.51 Median $1,819.70 Typical High $5,128.61 | Facility | None | $29.51 | $1,819.70 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $338.84 | Professional | None | $29.51 | $29.51 | $338.84 |
BCBS Arkansas Setting Facility Modifier None Typical Low $7,413.10 Median $8,709.64 Typical High $11,748.98 | Facility | None | $7,413.10 | $8,709.64 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $6,456.54 Typical High $7,762.47 | Facility | None | $588.84 | $6,456.54 | $7,762.47 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $11,481.54 | Facility | None | $2,454.71 | $4,265.80 | $11,481.54 |
United Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $109.65 | Professional | None | $45.71 | $66.07 | $109.65 |
5 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 $14.45 Median $14.45 Typical High $25.70 | Professional | 52 · Reduced service | $14.45 | $14.45 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $10.47 | Professional | 53 · Discontinued | $5.89 | $5.89 | $10.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $21.88 Typical High $38.90 | Professional | 54 · Surgery only | $21.88 | $21.88 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $7.76 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $5.25 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $5.25 |
Where Arkansas sits
The same service costs 93.3 times more in Oregon than in Vermont. 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· 2nd of 51
$7,079
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.