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 $61.66 Median $1,174.90 Typical High $2,454.71 | Facility | None | $61.66 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $93.33 | Professional | None | $61.66 | $64.57 | $93.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $63.10 Median $147.91 Typical High $204.17 | Facility | None | $63.10 | $147.91 | $204.17 |
BCBS Arkansas Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $109.65 | Professional | None | $52.48 | $69.18 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $57.54 Typical High $107.15 | Facility | None | $52.48 | $57.54 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $125.89 | Professional | None | $57.54 | $87.10 | $125.89 |
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 $47.86 Median $70.79 Typical High $120.23 | Professional | None | $47.86 | $70.79 | $120.23 |
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 $30.90 Median $32.36 Typical High $46.77 | Professional | 52 · Reduced service | $30.90 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.88 Typical High $19.05 | Professional | 53 · Discontinued | $12.30 | $12.88 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $47.86 Typical High $70.79 | Professional | 54 · Surgery only | $46.77 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.55 Typical High $14.13 | Professional | 55 · Aftercare only | $9.33 | $9.55 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.46 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.17 | $6.46 | $9.33 |
Where Arkansas sits
The same service costs 3.6 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· 25th of 51
$83.18
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.