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 $79.43 Median $1,000.00 Typical High $2,454.71 | Facility | None | $79.43 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $102.33 | Professional | None | $64.57 | $79.43 | $102.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $52.48 Median $275.42 Typical High $380.19 | Facility | None | $52.48 | $275.42 | $380.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $123.03 | Professional | None | $69.18 | $91.20 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $56.23 Typical High $1,000.00 | Facility | None | $50.12 | $56.23 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $131.83 | Professional | None | $72.44 | $107.15 | $131.83 |
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 $58.88 Median $83.18 Typical High $134.90 | Professional | None | $58.88 | $83.18 | $134.90 |
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 $39.81 Typical High $50.12 | Professional | 52 · Reduced service | $38.02 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.85 Typical High $19.95 | Professional | 53 · Discontinued | $15.14 | $15.85 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $60.26 Typical High $74.13 | Professional | 54 · Surgery only | $56.23 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.02 Typical High $15.14 | Professional | 55 · Aftercare only | $11.22 | $12.02 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.94 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.59 | $7.94 | $10.00 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 34th of 51
$91.20
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.