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 $263.03 Median $1,380.38 Typical High $2,454.71 | Facility | None | $263.03 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $263.03 | Professional | None | $181.97 | $263.03 | $263.03 |
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 $190.55 Median $190.55 Typical High $251.19 | Professional | None | $190.55 | $190.55 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $2,570.40 | Facility | None | $588.84 | $2,187.76 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $380.19 | Professional | None | $190.55 | $309.03 | $380.19 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $6,606.93 | Facility | None | $1,479.11 | $2,041.74 | $6,606.93 |
United Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $398.11 | Professional | None | $177.83 | $229.09 | $398.11 |
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 $91.20 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $91.20 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $36.31 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $134.90 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $26.92 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $18.20 | $26.30 | $26.30 |
Where Arkansas sits
The same service costs 10.2 times more in Oklahoma 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· 2nd 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.