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 $354.81 Median $1,819.70 Typical High $3,715.35 | Facility | None | $354.81 | $1,819.70 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $660.69 | Professional | None | $354.81 | $354.81 | $660.69 |
BCBS Arkansas Setting Facility Modifier None Typical Low $15,135.61 Median $19,952.62 Typical High $27,542.29 | Facility | None | $15,135.61 | $19,952.62 | $27,542.29 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $13,489.63 Typical High $16,218.10 | Facility | None | $588.84 | $13,489.63 | $16,218.10 |
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 $537.03 Median $794.33 Typical High $1,174.90 | Professional | None | $537.03 | $794.33 | $1,174.90 |
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 $177.83 Median $177.83 Typical High $316.23 | Professional | 52 · Reduced service | $177.83 | $177.83 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $125.89 | Professional | 53 · Discontinued | $70.79 | $70.79 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $478.63 | Professional | 54 · Surgery only | $269.15 | $269.15 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $95.50 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $63.10 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $63.10 |
Where Arkansas sits
The same service costs 27.5 times more in Oklahoma than in New York. 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
$11,482
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.