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 $616.60 Median $1,380.38 Typical High $2,454.71 | Facility | None | $616.60 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $616.60 | Professional | None | $562.34 | $616.60 | $616.60 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Facility | None | $5,248.07 | $5,248.07 | $7,244.36 |
BCBS Arkansas Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $616.60 | Professional | None | $467.74 | $467.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,677.35 Typical High $5,495.41 | Facility | None | $588.84 | $4,677.35 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $776.25 Typical High $1,000.00 | Professional | None | $416.87 | $776.25 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $891.25 | Professional | None | $426.58 | $501.19 | $891.25 |
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 $257.04 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $257.04 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $102.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $389.05 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $77.62 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $51.29 | $61.66 | $61.66 |
Where Arkansas sits
The same service costs 3.9 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· 7th of 51
$1,230
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.