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 $67.61 Median $1,000.00 Typical High $2,041.74 | Facility | None | $67.61 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $186.21 | Professional | None | $60.26 | $125.89 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None | $181.97 | $181.97 | $213.80 |
BCBS Arkansas Setting Facility Modifier None Typical Low $134.90 Median $588.84 Typical High $812.83 | Facility | None | $134.90 | $588.84 | $812.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $199.53 | Professional | None | $54.95 | $72.44 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $125.89 Typical High $1,000.00 | Facility | None | $104.71 | $125.89 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $218.78 | Professional | None | $57.54 | $102.33 | $218.78 |
Qualchoice Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $257.04 | Professional | None | $208.93 | $245.47 | $257.04 |
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 $56.23 Median $128.82 Typical High $223.87 | Professional | None | $56.23 | $128.82 | $223.87 |
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 $33.11 Median $39.81 Typical High $79.43 | Professional | 52 · Reduced service | $33.11 | $39.81 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $31.62 | Professional | 53 · Discontinued | $13.49 | $15.85 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $58.88 Typical High $117.49 | Professional | 54 · Surgery only | $50.12 | $58.88 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.75 Typical High $23.99 | Professional | 55 · Aftercare only | $10.00 | $11.75 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.94 Typical High $15.85 | Professional | 56 · Pre-op care only | $6.76 | $7.94 | $15.85 |
Where Arkansas sits
The same service costs 2.6 times more in Alaska than in Montana. 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
$170
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.