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 $630.96 Median $1,288.25 Typical High $2,454.71 | Facility | None | $630.96 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,235.94 | Professional | None | $2,041.74 | $2,041.74 | $3,235.94 |
BCBS Arkansas Setting Facility Modifier None Typical Low $724.44 Median $1,584.89 Typical High $2,187.76 | Facility | None | $724.44 | $1,584.89 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $1,000.00 | Facility | None | $588.84 | $691.83 | $1,000.00 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,238.72 | Facility | None | $407.38 | $588.84 | $2,238.72 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $6,606.93 | Professional | None | $3,162.28 | $3,981.07 | $6,606.93 |
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 $1,023.29 Median $1,023.29 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $645.65 | Professional | 53 · Discontinued | $407.38 | $407.38 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $489.78 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $323.59 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $323.59 |
Where Arkansas sits
The same service costs 3.5 times more in Indiana than in Maryland. 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· 50th of 51
$1,585
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.