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 $288.40 Median $1,380.38 Typical High $2,454.71 | Facility | None | $288.40 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $457.09 | Professional | None | $288.40 | $288.40 | $457.09 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,128.61 Median $7,413.10 Typical High $10,232.93 | Facility | None | $5,128.61 | $7,413.10 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,466.84 Typical High $5,370.32 | Facility | None | $588.84 | $4,466.84 | $5,370.32 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $3,388.44 | Facility | None | $794.33 | $1,148.15 | $3,388.44 |
United Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $912.01 | Professional | None | $416.87 | $602.56 | $912.01 |
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 $144.54 Median $144.54 Typical High $158.49 | Professional | 52 · Reduced service | $144.54 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $57.54 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | 54 · Surgery only | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $31.62 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $31.62 |
Where Arkansas sits
The same service costs 7.2 times more in Texas than in Pennsylvania. 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· 8th of 51
$1,047
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.