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 $588.84 Median $1,380.38 Typical High $2,454.71 | Facility | None | $588.84 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $588.84 | Professional | None | $398.11 | $588.84 | $588.84 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $7,413.10 | Facility | None | $5,370.32 | $5,370.32 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $602.56 | Professional | None | $446.68 | $446.68 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,754.23 Typical High $3,235.94 | Facility | None | $588.84 | $2,754.23 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $851.14 | Professional | None | $234.42 | $371.54 | $851.14 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $239.88 Median $407.38 Typical High $851.14 | Professional | None | $239.88 | $407.38 | $851.14 |
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 $199.53 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $199.53 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $81.28 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $302.00 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $60.26 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $39.81 | $58.88 | $58.88 |
Where Arkansas sits
The same service costs 5.2 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· 10th of 51
$871
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.