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 $120.23 Median $1,318.26 Typical High $2,818.38 | Facility | None | $120.23 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $1,202.26 Typical High $2,818.38 | Professional | None | $109.65 | $1,202.26 | $2,818.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,398.83 Median $4,265.80 Typical High $5,754.40 | Facility | None | $2,398.83 | $4,265.80 | $5,754.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $1,737.80 | Professional | None | $95.50 | $128.82 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $2,691.53 | Facility | None | $588.84 | $2,187.76 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $3,019.95 | Professional | None | $154.88 | $229.09 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,606.93 | Facility | None | $1,412.54 | $1,995.26 | $6,606.93 |
United Setting Professional Modifier None Typical Low $95.50 Median $1,071.52 Typical High $2,691.53 | Professional | None | $95.50 | $1,071.52 | $2,691.53 |
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 $54.95 Median $77.62 Typical High $1,412.54 | Professional | 52 · Reduced service | $54.95 | $77.62 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $30.90 Typical High $562.34 | Professional | 53 · Discontinued | $21.88 | $30.90 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $114.82 Typical High $2,137.96 | Professional | 54 · Surgery only | $81.28 | $114.82 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $22.91 Typical High $426.58 | Professional | 55 · Aftercare only | $16.22 | $22.91 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $15.49 Typical High $281.84 | Professional | 56 · Pre-op care only | $10.96 | $15.49 | $281.84 |
Where Arkansas sits
The same service costs 19.1 times more in Alaska than in Nebraska. 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· 16th of 51
$1,778
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.