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 $199.53 Median $1,513.56 Typical High $2,454.71 | Facility | None | $199.53 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | None | $199.53 | $199.53 | $346.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $15,135.61 | Facility | None | $10,964.78 | $10,964.78 | $15,135.61 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $6,918.31 Typical High $8,128.31 | Facility | None | $588.84 | $6,918.31 | $8,128.31 |
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 $295.12 Median $426.58 Typical High $660.69 | Professional | None | $295.12 | $426.58 | $660.69 |
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 $100.00 Median $100.00 Typical High $173.78 | Professional | 52 · Reduced service | $100.00 | $100.00 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | 53 · Discontinued | $39.81 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $257.04 | Professional | 54 · Surgery only | $147.91 | $147.91 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $51.29 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $34.67 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $34.67 |
Where Arkansas sits
The same service costs 15.8 times more in Arkansas 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· 1st of 51
$6,918
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.