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 $208.93 Median $1,905.46 Typical High $3,467.37 | Facility | None | $208.93 | $1,905.46 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $1,862.09 Typical High $3,388.44 | Professional | None | $208.93 | $1,862.09 | $3,388.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,365.16 Median $6,165.95 Typical High $8,511.38 | Facility | None | $4,365.16 | $6,165.95 | $8,511.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $2,691.53 | Professional | None | $147.91 | $194.98 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,801.89 Typical High $4,570.88 | Facility | None | $588.84 | $3,801.89 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $323.59 Typical High $4,786.30 | Professional | None | $151.36 | $323.59 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $6,918.31 | Facility | None | $1,479.11 | $2,041.74 | $6,918.31 |
United Setting Professional Modifier None Typical Low $162.18 Median $2,630.27 Typical High $4,677.35 | Professional | None | $162.18 | $2,630.27 | $4,677.35 |
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 $104.71 Median $104.71 Typical High $1,698.24 | Professional | 52 · Reduced service | $104.71 | $104.71 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $676.08 | Professional | 53 · Discontinued | $41.69 | $41.69 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $2,570.40 | Professional | 54 · Surgery only | $158.49 | $158.49 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $512.86 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $338.84 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $338.84 |
Where Arkansas sits
The same service costs 33.1 times more in Alaska 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· 19th of 51
$2,692
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.