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 $75.86 Median $1,000.00 Typical High $2,041.74 | Facility | None | $75.86 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $125.89 Typical High $173.78 | Professional | None | $75.86 | $125.89 | $173.78 |
BCBS Arkansas Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $2,089.30 | Facility | None | $691.83 | $1,513.56 | $2,089.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $194.98 | Professional | None | $67.61 | $89.13 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $794.33 | Facility | None | $380.19 | $676.08 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $245.47 | Professional | None | $95.50 | $131.83 | $245.47 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,238.72 | Facility | None | $407.38 | $588.84 | $2,238.72 |
United Setting Professional Modifier None Typical Low $63.10 Median $128.82 Typical High $245.47 | Professional | None | $63.10 | $128.82 | $245.47 |
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 $38.02 Median $51.29 Typical High $79.43 | Professional | 52 · Reduced service | $38.02 | $51.29 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $20.42 Typical High $31.62 | Professional | 53 · Discontinued | $15.14 | $20.42 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $77.62 Typical High $120.23 | Professional | 54 · Surgery only | $57.54 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $15.49 Typical High $23.99 | Professional | 55 · Aftercare only | $11.48 | $15.49 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $10.23 Typical High $15.85 | Professional | 56 · Pre-op care only | $7.59 | $10.23 | $15.85 |
Where Arkansas sits
The same service costs 4.9 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· 11th of 51
$214
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.