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 $380.19 Median $1,698.24 Typical High $2,511.89 | Facility | None | $380.19 | $1,698.24 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | None | $302.00 | $380.19 | $380.19 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $524.81 | Professional | None | $398.11 | $436.52 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,388.44 Typical High $3,981.07 | Facility | None | $588.84 | $3,388.44 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $9,120.11 | Facility | None | $1,698.24 | $2,570.40 | $9,120.11 |
United Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $616.60 | Professional | None | $309.03 | $398.11 | $616.60 |
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 $147.91 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $147.91 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $223.87 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $44.67 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $30.20 | $38.02 | $38.02 |
Where Arkansas sits
The same service costs 4.5 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· 15th of 51
$525
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.