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 $28.18 Median $1,000.00 Typical High $2,041.74 | Facility | None | $28.18 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $39.81 Typical High $56.23 | Professional | None | $25.12 | $39.81 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None | $50.12 | $50.12 | $58.88 |
BCBS Arkansas Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $79.43 | Facility | None | $58.88 | $58.88 | $79.43 |
BCBS Arkansas Setting Professional Modifier None Typical Low $23.99 Median $32.36 Typical High $60.26 | Professional | None | $23.99 | $32.36 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $512.86 | Facility | None | $50.12 | $100.00 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $40.74 Typical High $66.07 | Professional | None | $23.99 | $40.74 | $66.07 |
Qualchoice Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | None | $57.54 | $57.54 | $67.61 |
United Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $707.95 | Facility | None | $77.62 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $23.99 Median $40.74 Typical High $69.18 | Professional | None | $23.99 | $40.74 | $69.18 |
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 $14.13 Median $17.38 Typical High $25.12 | Professional | 52 · Reduced service | $14.13 | $17.38 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.92 Typical High $10.00 | Professional | 53 · Discontinued | $5.75 | $6.92 | $10.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.38 Median $25.70 Typical High $37.15 | Professional | 54 · Surgery only | $21.38 | $25.70 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $5.13 Typical High $7.41 | Professional | 55 · Aftercare only | $4.27 | $5.13 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $3.47 Typical High $5.01 | Professional | 56 · Pre-op care only | $2.82 | $3.47 | $5.01 |
Where Arkansas sits
The same service costs 3.5 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· 16th of 51
$52.48
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.