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 $891.25 Median $1,819.70 Typical High $2,818.38 | Facility | None | $891.25 | $1,819.70 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,584.89 | Professional | None | $891.25 | $891.25 | $1,584.89 |
BCBS Arkansas Setting Facility Modifier None Typical Low $7,585.78 Median $10,964.78 Typical High $14,791.08 | Facility | None | $7,585.78 | $10,964.78 | $14,791.08 |
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 $1,698.24 Median $2,570.40 Typical High $9,120.11 | Facility | None | $1,698.24 | $2,570.40 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $3,019.95 | Professional | None | $1,380.38 | $1,737.80 | $3,019.95 |
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 $446.68 Median $446.68 Typical High $707.95 | Professional | 52 · Reduced service | $446.68 | $446.68 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $281.84 | Professional | 53 · Discontinued | $177.83 | $177.83 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $1,047.13 | Professional | 54 · Surgery only | $676.08 | $676.08 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $208.93 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $141.25 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $141.25 |
Where Arkansas sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 3rd of 51
$4,571
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.