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 $52.48 Median $70.79 Typical High $75.86 | Professional | None | $52.48 | $70.79 | $75.86 |
BCBS Arkansas Setting Facility Modifier None Typical Low $48.98 Median $208.93 Typical High $281.84 | Facility | None | $48.98 | $208.93 | $281.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $97.72 | Professional | None | $52.48 | $69.18 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $52.48 Typical High $107.15 | Facility | None | $48.98 | $52.48 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $112.20 | Professional | None | $50.12 | $69.18 | $112.20 |
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 $46.77 Median $72.44 Typical High $112.20 | Professional | None | $46.77 | $72.44 | $112.20 |
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 $33.88 Typical High $38.02 | Professional | 52 · Reduced service | $26.30 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $13.49 Typical High $15.14 | Professional | 53 · Discontinued | $10.47 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $50.12 Typical High $56.23 | Professional | 54 · Surgery only | $39.81 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $10.00 Typical High $11.48 | Professional | 55 · Aftercare only | $7.94 | $10.00 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.76 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.25 | $6.76 | $7.59 |
Where Arkansas sits
The same service costs 3.4 times more in Alaska than in New York. 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· 33rd of 51
$77.62
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.