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 $630.96 Median $1,071.52 Typical High $2,454.71 | Facility | None | $630.96 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $794.33 | Professional | None | $676.08 | $776.25 | $794.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,570.88 Median $8,709.64 Typical High $12,022.64 | Facility | None | $4,570.88 | $8,709.64 | $12,022.64 |
BCBS Arkansas Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | None | $562.34 | $562.34 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $4,365.16 Typical High $5,370.32 | Facility | None | $562.34 | $4,365.16 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $776.25 Typical High $1,258.93 | Professional | None | $416.87 | $776.25 | $1,258.93 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $1,096.48 | Professional | None | $512.86 | $588.84 | $1,096.48 |
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 $309.03 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $309.03 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $457.09 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $91.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $61.66 | $77.62 | $77.62 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska 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· 17th of 51
$977
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.