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 $954.99 Median $1,380.38 Typical High $2,454.71 | Facility | None | $954.99 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,258.93 | $1,380.38 | $1,380.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $4,570.88 | Facility | None | $1,862.09 | $3,311.31 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,778.28 Typical High $2,187.76 | Facility | None | $588.84 | $1,778.28 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $2,187.76 | Professional | None | $831.76 | $1,148.15 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,677.35 | Facility | None | $1,096.48 | $1,513.56 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,318.26 | $2,290.87 |
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 $549.54 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $549.54 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $223.87 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $831.76 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $165.96 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $112.20 | $138.04 | $138.04 |
Where Arkansas sits
The same service costs 4.8 times more in Alaska 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· 19th of 51
$1,820
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.