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 $93.33 Median $1,000.00 Typical High $2,454.71 | Facility | None | $93.33 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $204.17 Typical High $295.12 | Professional | None | $93.33 | $204.17 | $295.12 |
BCBS Arkansas Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | None | $234.42 | $234.42 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $645.65 Typical High $1,122.02 | Facility | None | $562.34 | $645.65 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $169.82 Typical High $478.63 | Professional | None | $104.71 | $169.82 | $478.63 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $79.43 Median $239.88 Typical High $436.52 | Professional | None | $79.43 | $239.88 | $436.52 |
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 $46.77 Median $51.29 Typical High $147.91 | Professional | 52 · Reduced service | $46.77 | $51.29 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.42 Typical High $58.88 | Professional | 53 · Discontinued | $18.62 | $20.42 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $75.86 Typical High $223.87 | Professional | 54 · Surgery only | $70.79 | $75.86 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $15.14 Typical High $44.67 | Professional | 55 · Aftercare only | $14.13 | $15.14 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.23 Typical High $29.51 | Professional | 56 · Pre-op care only | $9.33 | $10.23 | $29.51 |
Where Arkansas sits
The same service costs 4.5 times more in Oklahoma than in Nebraska. 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· 29th of 51
$234
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.