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 $208.93 Median $1,174.90 Typical High $2,454.71 | Facility | None | $208.93 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $346.74 | Professional | None | $208.93 | $223.87 | $346.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $331.13 | Facility | None | $141.25 | $245.47 | $331.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $416.87 | Professional | None | $181.97 | $239.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $181.97 | Facility | None | $107.15 | $144.54 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $549.54 | Professional | None | $199.53 | $302.00 | $549.54 |
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 $151.36 Median $234.42 Typical High $398.11 | Professional | None | $151.36 | $234.42 | $398.11 |
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 $104.71 Median $109.65 Typical High $173.78 | Professional | 52 · Reduced service | $104.71 | $109.65 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $69.18 | Professional | 53 · Discontinued | $41.69 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $165.96 Typical High $257.04 | Professional | 54 · Surgery only | $154.88 | $165.96 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.11 Typical High $51.29 | Professional | 55 · Aftercare only | $31.62 | $33.11 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.88 Typical High $34.67 | Professional | 56 · Pre-op care only | $20.89 | $21.88 | $34.67 |
Where Arkansas sits
The same service costs 4.0 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· 41st of 51
$245
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.