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 $32.36 Median $1,000.00 Typical High $2,041.74 | Facility | None | $32.36 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $46.77 Typical High $58.88 | Professional | None | $28.84 | $46.77 | $58.88 |
BCBS Arkansas Setting Facility Modifier None Typical Low $39.81 Median $588.84 Typical High $812.83 | Facility | None | $39.81 | $588.84 | $812.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $79.43 | Professional | None | $28.18 | $37.15 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $35.48 Typical High $107.15 | Facility | None | $33.11 | $35.48 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $85.11 | Professional | None | $27.54 | $50.12 | $85.11 |
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 $27.54 Median $50.12 Typical High $83.18 | Professional | None | $27.54 | $50.12 | $83.18 |
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 $16.22 Median $23.44 Typical High $29.51 | Professional | 52 · Reduced service | $16.22 | $23.44 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $9.33 Typical High $11.75 | Professional | 53 · Discontinued | $6.46 | $9.33 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $34.67 Typical High $44.67 | Professional | 54 · Surgery only | $23.99 | $34.67 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.92 Typical High $8.91 | Professional | 55 · Aftercare only | $4.79 | $6.92 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $4.68 Typical High $5.89 | Professional | 56 · Pre-op care only | $3.24 | $4.68 | $5.89 |
Where Arkansas sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 18th of 51
$58.88
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.