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 $234.42 Median $1,862.09 Typical High $3,630.78 | Facility | None | $234.42 | $1,862.09 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $446.68 | Professional | None | $234.42 | $234.42 | $446.68 |
BCBS Arkansas Setting Facility Modifier None Typical Low $19,952.62 Median $23,442.29 Typical High $32,359.37 | Facility | None | $19,952.62 | $23,442.29 | $32,359.37 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $17,378.01 Typical High $20,417.38 | Facility | None | $588.84 | $17,378.01 | $20,417.38 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $10,471.29 Typical High $25,118.86 | Facility | None | $5,128.61 | $10,471.29 | $25,118.86 |
United Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $794.33 | Professional | None | $354.81 | $524.81 | $794.33 |
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 $117.49 Median $117.49 Typical High $208.93 | Professional | 52 · Reduced service | $117.49 | $117.49 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $83.18 | Professional | 53 · Discontinued | $46.77 | $46.77 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $309.03 | Professional | 54 · Surgery only | $173.78 | $173.78 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $63.10 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $41.69 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $41.69 |
Where Arkansas sits
The same service costs 57.5 times more in Arkansas than in New York. 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· 1st of 51
$17,783
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.