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 $1,071.52 Median $2,344.23 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,344.23 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,862.09 | Professional | None | $758.58 | $758.58 | $1,862.09 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,168.69 Median $6,025.60 Typical High $8,128.31 | Facility | None | $4,168.69 | $6,025.60 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,168.69 Typical High $5,248.07 | Facility | None | $588.84 | $4,168.69 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $8,511.38 | Facility | None | $1,698.24 | $2,570.40 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,698.24 | $2,570.40 |
4 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 $380.19 Median $380.19 Typical High $676.08 | Professional | 52 · Reduced service | $380.19 | $380.19 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $269.15 | Professional | 53 · Discontinued | $151.36 | $151.36 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $134.90 |
Where Arkansas sits
The same service costs 9.1 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· 6th of 51
$4,169
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.