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 $363.08 Median $1,380.38 Typical High $2,454.71 | Facility | None | $363.08 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $363.08 | Professional | None | $288.40 | $363.08 | $363.08 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,621.81 Median $3,235.94 Typical High $4,466.84 | Facility | None | $1,621.81 | $3,235.94 | $4,466.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $354.81 | Professional | None | $263.03 | $263.03 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,584.89 Typical High $1,949.84 | Facility | None | $588.84 | $1,584.89 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $371.54 Typical High $602.56 | Professional | None | $194.98 | $371.54 | $602.56 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $524.81 | Professional | None | $245.47 | $275.42 | $524.81 |
3 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 54 · Surgery only Typical Low $218.78 Median $275.42 Typical High $275.42 | Professional | 54 · Surgery only | $218.78 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $43.65 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $28.84 | $36.31 | $36.31 |
Where Arkansas sits
The same service costs 7.2 times more in Oklahoma 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· 6th 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.