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 $141.25 Median $1,071.52 Typical High $2,454.71 | Facility | None | $141.25 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | None | $128.82 | $141.25 | $162.18 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,584.89 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | None | $120.23 | $120.23 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,778.28 Typical High $2,290.87 | Facility | None | $380.19 | $1,778.28 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $275.42 | Professional | None | $128.82 | $194.98 | $275.42 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,096.48 | $1,513.56 | $4,466.84 |
United Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $239.88 | Professional | None | $109.65 | $147.91 | $239.88 |
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 $64.57 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $25.70 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | 54 · Surgery only | $95.50 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $19.05 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $12.88 | $14.13 | $14.13 |
Where Arkansas sits
The same service costs 12.9 times more in Arkansas 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· 1st of 51
$1,585
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.