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 $19.95 Median $1,174.90 Typical High $2,454.71 | Facility | None | $19.95 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $29.51 Typical High $52.48 | Professional | None | $19.95 | $29.51 | $52.48 |
BCBS Arkansas Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | None | $30.20 | $30.20 | $39.81 |
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 $16.98 Median $30.20 Typical High $58.88 | Professional | None | $16.98 | $30.20 | $58.88 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $16.22 Median $33.88 Typical High $63.10 | Professional | None | $16.22 | $33.88 | $63.10 |
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 $10.00 Median $14.45 Typical High $26.30 | Professional | 52 · Reduced service | $10.00 | $14.45 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $5.89 Typical High $10.47 | Professional | 53 · Discontinued | $3.98 | $5.89 | $10.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $14.79 Median $21.88 Typical High $39.81 | Professional | 54 · Surgery only | $14.79 | $21.88 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $4.37 Typical High $7.94 | Professional | 55 · Aftercare only | $3.02 | $4.37 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.95 Typical High $5.25 | Professional | 56 · Pre-op care only | $2.00 | $2.95 | $5.25 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska than in Hawaii. 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· 17th of 51
$42.66
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.