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 $218.78 Median $1,071.52 Typical High $2,041.74 | Facility | None | $218.78 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $331.13 | Professional | None | $199.53 | $245.47 | $331.13 |
BCBS Arkansas Setting Facility Modifier None Typical Low $758.58 Median $1,621.81 Typical High $2,238.72 | Facility | None | $758.58 | $1,621.81 | $2,238.72 |
BCBS Arkansas Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $331.13 | Professional | None | $165.96 | $223.87 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $954.99 | Facility | None | $380.19 | $776.25 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $457.09 | Professional | None | $151.36 | $234.42 | $457.09 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,398.83 | Facility | None | $407.38 | $588.84 | $2,398.83 |
United Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $457.09 | Professional | None | $158.49 | $263.03 | $457.09 |
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 $107.15 Median $109.65 Typical High $165.96 | Professional | 52 · Reduced service | $107.15 | $109.65 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $66.07 | Professional | 53 · Discontinued | $43.65 | $43.65 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $165.96 Typical High $245.47 | Professional | 54 · Surgery only | $162.18 | $165.96 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $48.98 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $33.11 |
Where Arkansas sits
The same service costs 3.1 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· 22nd of 51
$347
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.