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 $77.62 Median $977.24 Typical High $2,041.74 | Facility | None | $77.62 | $977.24 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $131.83 | Professional | None | $69.18 | $104.71 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
BCBS Arkansas Setting Facility Modifier None Typical Low $67.61 Median $380.19 Typical High $524.81 | Facility | None | $67.61 | $380.19 | $524.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $128.82 | Professional | None | $53.70 | $70.79 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $100.00 | Facility | None | $54.95 | $60.26 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $213.80 | Professional | None | $74.13 | $112.20 | $213.80 |
Qualchoice Setting Professional Modifier None Typical Low $93.33 Median $229.09 Typical High $229.09 | Professional | None | $93.33 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $741.31 | Facility | None | $79.43 | $131.83 | $741.31 |
United Setting Professional Modifier None Typical Low $53.70 Median $97.72 Typical High $181.97 | Professional | None | $53.70 | $97.72 | $181.97 |
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 $38.02 Median $41.69 Typical High $64.57 | Professional | 52 · Reduced service | $38.02 | $41.69 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $26.30 | Professional | 53 · Discontinued | $15.49 | $16.60 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $61.66 Typical High $97.72 | Professional | 54 · Surgery only | $57.54 | $61.66 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.30 Typical High $19.50 | Professional | 55 · Aftercare only | $11.48 | $12.30 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.32 Typical High $13.18 | Professional | 56 · Pre-op care only | $7.76 | $8.32 | $13.18 |
Where Arkansas sits
The same service costs 2.8 times more in Alaska than in Pennsylvania. 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· 30th of 51
$110
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.