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 $114.82 Median $141.25 Typical High $141.25 | Professional | None | $114.82 | $141.25 | $141.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,168.69 Median $5,370.32 Typical High $7,244.36 | Facility | None | $4,168.69 | $5,370.32 | $7,244.36 |
BCBS Arkansas Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | None | $120.23 | $120.23 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $3,981.07 Typical High $4,786.30 | Facility | None | $380.19 | $3,981.07 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $218.78 | Professional | None | $114.82 | $177.83 | $218.78 |
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 $104.71 Median $117.49 Typical High $223.87 | Professional | None | $104.71 | $117.49 | $223.87 |
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 $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $54.95 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $22.39 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 54 · Surgery only | $83.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $16.60 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $11.22 | $14.13 | $14.13 |
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· 24th of 51
$162
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.