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 $72.44 Median $1,174.90 Typical High $2,454.71 | Facility | None | $72.44 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $147.91 | Professional | None | $66.07 | $95.50 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None | $162.18 | $162.18 | $190.55 |
BCBS Arkansas Setting Facility Modifier None Typical Low $102.33 Median $181.97 Typical High $251.19 | Facility | None | $102.33 | $181.97 | $251.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $181.97 | Professional | None | $63.10 | $83.18 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $109.65 | Facility | None | $81.28 | $87.10 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $165.96 | Professional | None | $61.66 | $100.00 | $165.96 |
Qualchoice Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $218.78 | Professional | None | $186.21 | $199.53 | $218.78 |
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 $58.88 Median $102.33 Typical High $177.83 | Professional | None | $58.88 | $102.33 | $177.83 |
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 $36.31 Median $44.67 Typical High $60.26 | Professional | 52 · Reduced service | $36.31 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $18.20 Typical High $23.99 | Professional | 53 · Discontinued | $14.45 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $67.61 Typical High $89.13 | Professional | 54 · Surgery only | $54.95 | $67.61 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.49 Typical High $17.78 | Professional | 55 · Aftercare only | $10.96 | $13.49 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.12 Typical High $12.02 | Professional | 56 · Pre-op care only | $7.24 | $9.12 | $12.02 |
Where Arkansas sits
The same service costs 3.2 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· 20th of 51
$120
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.