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 $208.93 Median $1,513.56 Typical High $2,454.71 | Facility | None | $208.93 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $389.05 | Professional | None | $208.93 | $208.93 | $389.05 |
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 $4,677.35 Typical High $5,623.41 | Facility | None | $588.84 | $4,677.35 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $691.83 | Professional | None | $309.03 | $446.68 | $691.83 |
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 $104.71 Median $104.71 Typical High $190.55 | Professional | 52 · Reduced service | $104.71 | $104.71 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | 53 · Discontinued | $41.69 | $41.69 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $288.40 | Professional | 54 · Surgery only | $158.49 | $158.49 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $57.54 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $38.02 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $38.02 |
Where Arkansas sits
The same service costs 14.8 times more in Texas 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· 8th of 51
$2,630
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.