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 $1,071.52 Median $1,819.70 Typical High $6,165.95 | Facility | None | $1,071.52 | $1,819.70 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $5,754.40 Median $6,165.95 Typical High $10,715.19 | Professional | None | $5,754.40 | $6,165.95 | $10,715.19 |
BCBS Arkansas Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $16,218.10 | Facility | None | $11,748.98 | $11,748.98 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $7,762.47 Typical High $9,332.54 | Facility | None | $588.84 | $7,762.47 | $9,332.54 |
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 $8,317.64 Median $12,882.50 Typical High $19,498.45 | Professional | None | $8,317.64 | $12,882.50 | $19,498.45 |
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 $3,090.30 Median $3,090.30 Typical High $5,370.32 | Professional | 52 · Reduced service | $3,090.30 | $3,090.30 | $5,370.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,230.27 Median $1,230.27 Typical High $2,137.96 | Professional | 53 · Discontinued | $1,230.27 | $1,230.27 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,570.88 Median $4,570.88 Typical High $7,943.28 | Professional | 54 · Surgery only | $4,570.88 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $912.01 Median $912.01 Typical High $1,584.89 | Professional | 55 · Aftercare only | $912.01 | $912.01 | $1,584.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $616.60 Median $616.60 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $616.60 | $616.60 | $1,071.52 |
Where Arkansas sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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· 30th of 51
$10,233
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.