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 $41.69 Median $42.66 Typical High $61.66 | Facility | None | $41.69 | $42.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $61.66 | Professional | None | $41.69 | $45.71 | $61.66 |
BCBS Arkansas Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $79.43 | Facility | None | $58.88 | $58.88 | $79.43 |
BCBS Arkansas Setting Professional Modifier None Typical Low $36.31 Median $48.98 Typical High $75.86 | Professional | None | $36.31 | $48.98 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $512.86 | Facility | None | $50.12 | $107.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $58.88 Typical High $83.18 | Professional | None | $39.81 | $58.88 | $83.18 |
United Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $707.95 | Facility | None | $77.62 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $81.28 | Professional | None | $30.90 | $47.86 | $81.28 |
4 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 $20.89 Median $22.39 Typical High $30.90 | Professional | 52 · Reduced service | $20.89 | $22.39 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.12 Typical High $12.30 | Professional | 53 · Discontinued | $8.32 | $9.12 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.76 Typical High $9.33 | Professional | 55 · Aftercare only | $6.17 | $6.76 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.47 Typical High $6.17 | Professional | 56 · Pre-op care only | $4.17 | $4.47 | $6.17 |
Where Arkansas sits
The same service costs 3.7 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· 23rd of 51
$57.54
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.