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 $151.36 Median $1,071.52 Typical High $2,454.71 | Facility | None | $151.36 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $223.87 | Professional | None | $151.36 | $151.36 | $223.87 |
BCBS Arkansas Setting Facility Modifier None Typical Low $12,589.25 Median $12,882.50 Typical High $17,782.79 | Facility | None | $12,589.25 | $12,882.50 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $11,220.18 Typical High $13,489.63 | Facility | None | $588.84 | $11,220.18 | $13,489.63 |
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 $218.78 Median $288.40 Typical High $512.86 | Professional | None | $218.78 | $288.40 | $512.86 |
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 $75.86 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $30.20 | $30.20 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 54 · Surgery only | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $16.60 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $16.60 |
Where Arkansas sits
The same service costs 9.5 times more in Arkansas than in Kentucky. 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
$1,905
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.