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 $134.90 Median $1,071.52 Typical High $2,454.71 | Facility | None | $134.90 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $147.91 | Professional | None | $131.83 | $134.90 | $147.91 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $660.69 Typical High $891.25 | Facility | None | $363.08 | $660.69 | $891.25 |
BCBS Arkansas Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | None | $162.18 | $162.18 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $380.19 Typical High $549.54 | Facility | None | $354.81 | $380.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $245.47 | Professional | None | $97.72 | $190.55 | $245.47 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,548.82 | Facility | None | $269.15 | $389.05 | $1,548.82 |
United Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $229.09 | Professional | None | $97.72 | $120.23 | $229.09 |
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 $66.07 Median $67.61 Typical High $69.18 | Professional | 52 · Reduced service | $66.07 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $26.30 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | 54 · Surgery only | $97.72 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $20.42 Typical High $20.42 | Professional | 55 · Aftercare only | $19.50 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.49 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.18 | $13.49 | $13.80 |
Where Arkansas sits
The same service costs 4.4 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· 6th of 51
$355
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.