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 $165.96 Median $1,071.52 Typical High $2,454.71 | Facility | None | $165.96 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $173.78 | Professional | None | $162.18 | $165.96 | $173.78 |
BCBS Arkansas Setting Facility Modifier None Typical Low $416.87 Median $707.95 Typical High $977.24 | Facility | None | $416.87 | $707.95 | $977.24 |
BCBS Arkansas Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | None | $245.47 | $245.47 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $602.56 | Facility | None | $380.19 | $478.63 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $229.09 Typical High $251.19 | Professional | None | $134.90 | $229.09 | $251.19 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $1,548.82 | Facility | None | $269.15 | $363.08 | $1,548.82 |
United Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $281.84 | Professional | None | $120.23 | $151.36 | $281.84 |
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 $81.28 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $81.28 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $32.36 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | 54 · Surgery only | $120.23 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $23.99 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.60 Typical High $16.60 | Professional | 56 · Pre-op care only | $16.22 | $16.60 | $16.60 |
Where Arkansas sits
The same service costs 4.3 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· 11th of 51
$380
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.