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 $190.55 Median $1,288.25 Typical High $2,454.71 | Facility | None | $190.55 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $251.19 | Professional | None | $169.82 | $190.55 | $251.19 |
BCBS Arkansas Setting Facility Modifier None Typical Low $104.71 Median $181.97 Typical High $251.19 | Facility | None | $104.71 | $181.97 | $251.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $229.09 | Professional | None | $173.78 | $173.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $724.44 | Facility | None | $100.00 | $123.03 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $489.78 | Professional | None | $125.89 | $263.03 | $489.78 |
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 $165.96 Median $239.88 Typical High $371.54 | Professional | None | $165.96 | $239.88 | $371.54 |
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 $87.10 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $87.10 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $34.67 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $25.70 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $17.38 | $19.05 | $19.05 |
Where Arkansas sits
The same service costs 4.1 times more in Alaska than in Maryland. 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· 47th of 51
$182
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.