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 $446.68 Median $1,288.25 Typical High $2,454.71 | Facility | None | $446.68 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $446.68 | Professional | None | $346.74 | $446.68 | $446.68 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,513.56 Median $3,311.31 Typical High $4,570.88 | Facility | None | $1,513.56 | $3,311.31 | $4,570.88 |
BCBS Arkansas Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $501.19 | Professional | None | $380.19 | $380.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $812.83 Typical High $1,000.00 | Facility | None | $512.86 | $812.83 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $575.44 Typical High $691.83 | Professional | None | $354.81 | $575.44 | $691.83 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,162.28 | Facility | None | $794.33 | $1,122.02 | $3,162.28 |
United Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $707.95 | Professional | None | $323.59 | $398.11 | $707.95 |
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 $173.78 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $173.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $69.18 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $263.03 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $52.48 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $34.67 | $44.67 | $44.67 |
Where Arkansas sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 26th of 51
$501
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.