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 $302.00 Median $1,513.56 Typical High $2,454.71 | Facility | None | $302.00 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $524.81 | Professional | None | $302.00 | $302.00 | $524.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $23,442.29 Median $23,442.29 Typical High $32,359.37 | Facility | None | $23,442.29 | $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 $457.09 Median $645.65 Typical High $1,023.29 | Professional | None | $457.09 | $645.65 | $1,023.29 |
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 $151.36 Median $151.36 Typical High $263.03 | Professional | 52 · Reduced service | $151.36 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | 53 · Discontinued | $61.66 | $61.66 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $398.11 | Professional | 54 · Surgery only | $229.09 | $229.09 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $79.43 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $52.48 |
Where Arkansas sits
The same service costs 29.5 times more in Louisiana than in Maine. 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
$16,218
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.