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 $223.87 Median $1,174.90 Typical High $2,454.71 | Facility | None | $223.87 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $371.54 | Professional | None | $223.87 | $263.03 | $371.54 |
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 $199.53 Median $263.03 Typical High $446.68 | Professional | None | $199.53 | $263.03 | $446.68 |
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 $223.87 Median $295.12 Typical High $478.63 | Professional | None | $223.87 | $295.12 | $478.63 |
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 $263.03 Typical High $446.68 | Professional | None | $165.96 | $263.03 | $446.68 |
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 $112.20 Median $131.83 Typical High $186.21 | Professional | 52 · Reduced service | $112.20 | $131.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $74.13 | Professional | 53 · Discontinued | $45.71 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $199.53 Typical High $275.42 | Professional | 54 · Surgery only | $169.82 | $199.53 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $39.81 Typical High $56.23 | Professional | 55 · Aftercare only | $33.88 | $39.81 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $26.30 Typical High $37.15 | Professional | 56 · Pre-op care only | $22.39 | $26.30 | $37.15 |
Where Arkansas sits
The same service costs 3.8 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· 42nd of 51
$263
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.