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 $478.63 Median $1,819.70 Typical High $3,090.30 | Facility | None | $478.63 | $1,819.70 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $851.14 | Professional | None | $478.63 | $478.63 | $851.14 |
BCBS Arkansas Setting Facility Modifier None Typical Low $19,952.62 Median $23,442.29 Typical High $32,359.37 | Facility | None | $19,952.62 | $23,442.29 | $32,359.37 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $19,054.61 Typical High $22,387.21 | Facility | None | $588.84 | $19,054.61 | $22,387.21 |
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 $724.44 Median $1,000.00 Typical High $1,548.82 | Professional | None | $724.44 | $1,000.00 | $1,548.82 |
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 $239.88 Median $239.88 Typical High $281.84 | Professional | 52 · Reduced service | $239.88 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | 53 · Discontinued | $95.50 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | 54 · Surgery only | $354.81 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $57.54 |
Where Arkansas sits
The same service costs 50.1 times more in Arkansas 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· 1st of 51
$19,498
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.