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 $562.34 Median $1,288.25 Typical High $2,454.71 | Facility | None | $562.34 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | None | $562.34 | $562.34 | $630.96 |
BCBS Arkansas Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $17,378.01 | Facility | None | $12,589.25 | $12,589.25 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,122.02 | Facility | None | $562.34 | $724.44 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $7,413.10 | Facility | None | $1,659.59 | $2,511.89 | $7,413.10 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,862.09 | Professional | None | $851.14 | $1,202.26 | $1,862.09 |
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 $281.84 Median $281.84 Typical High $309.03 | Professional | 52 · Reduced service | $281.84 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 53 · Discontinued | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $467.74 | Professional | 54 · Surgery only | $426.58 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $63.10 |
Where Arkansas sits
The same service costs 50.1 times more in Oklahoma than in North Carolina. 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· 21st of 51
$1,660
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.