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 $52.48 Median $1,174.90 Typical High $2,454.71 | Facility | None | $52.48 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $83.18 Typical High $125.89 | Professional | None | $42.66 | $83.18 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None | $134.90 | $134.90 | $158.49 |
BCBS Arkansas Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $251.19 | Facility | None | $100.00 | $181.97 | $251.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $151.36 | Professional | None | $45.71 | $60.26 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $79.43 Typical High $107.15 | Facility | None | $72.44 | $79.43 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $83.18 Typical High $144.54 | Professional | None | $44.67 | $83.18 | $144.54 |
Qualchoice Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | None | $154.88 | $154.88 | $181.97 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $42.66 Median $75.86 Typical High $151.36 | Professional | None | $42.66 | $75.86 | $151.36 |
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 $26.30 Median $31.62 Typical High $60.26 | Professional | 52 · Reduced service | $26.30 | $31.62 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.59 Typical High $23.99 | Professional | 53 · Discontinued | $10.47 | $12.59 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $46.77 Typical High $91.20 | Professional | 54 · Surgery only | $39.81 | $46.77 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $9.33 Typical High $18.20 | Professional | 55 · Aftercare only | $7.94 | $9.33 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.31 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.25 | $6.31 | $12.02 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 19th of 51
$107
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.