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 $512.86 Median $1,698.24 Typical High $2,818.38 | Facility | None | $512.86 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $512.86 | Professional | None | $398.11 | $512.86 | $512.86 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,691.53 Median $5,370.32 Typical High $7,244.36 | Facility | None | $2,691.53 | $5,370.32 | $7,244.36 |
BCBS Arkansas Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $575.44 | Professional | None | $436.52 | $436.52 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $4,168.69 Typical High $4,897.79 | Facility | None | $1,122.02 | $4,168.69 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $741.31 | Professional | None | $389.05 | $645.65 | $741.31 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $794.33 | Professional | None | $371.54 | $436.52 | $794.33 |
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 $194.98 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $194.98 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $77.62 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $295.12 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $58.88 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $38.90 | $51.29 | $51.29 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 23rd of 51
$575
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.