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 $87.10 Median $1,174.90 Typical High $2,454.71 | Facility | None | $87.10 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $169.82 | Professional | None | $74.13 | $123.03 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | None | $141.25 | $186.21 | $186.21 |
BCBS Arkansas Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $524.81 | Facility | None | $125.89 | $380.19 | $524.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $204.17 | Professional | None | $74.13 | $97.72 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $97.72 Typical High $123.03 | Facility | None | $91.20 | $97.72 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $134.90 Typical High $208.93 | Professional | None | $72.44 | $134.90 | $208.93 |
Qualchoice Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $69.18 Median $120.23 Typical High $208.93 | Professional | None | $69.18 | $120.23 | $208.93 |
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 $42.66 Median $51.29 Typical High $85.11 | Professional | 52 · Reduced service | $42.66 | $51.29 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.42 Typical High $33.88 | Professional | 53 · Discontinued | $17.38 | $20.42 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $77.62 Typical High $128.82 | Professional | 54 · Surgery only | $64.57 | $77.62 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $15.49 Typical High $25.70 | Professional | 55 · Aftercare only | $12.88 | $15.49 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.23 Typical High $16.98 | Professional | 56 · Pre-op care only | $8.71 | $10.23 | $16.98 |
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
$141
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.