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 $173.78 Median $1,071.52 Typical High $2,041.74 | Facility | None | $173.78 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $323.59 | Professional | None | $162.18 | $223.87 | $323.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $218.78 Median $380.19 Typical High $524.81 | Facility | None | $218.78 | $380.19 | $524.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $363.08 | Professional | None | $134.90 | $177.83 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $724.44 | Facility | None | $194.98 | $239.88 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $436.52 | Professional | None | $123.03 | $229.09 | $436.52 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $741.31 | Facility | None | $79.43 | $131.83 | $741.31 |
United Setting Professional Modifier None Typical Low $125.89 Median $239.88 Typical High $467.74 | Professional | None | $125.89 | $239.88 | $467.74 |
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 $87.10 Median $107.15 Typical High $162.18 | Professional | 52 · Reduced service | $87.10 | $107.15 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $42.66 Typical High $64.57 | Professional | 53 · Discontinued | $34.67 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $158.49 Typical High $239.88 | Professional | 54 · Surgery only | $131.83 | $158.49 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $31.62 Typical High $48.98 | Professional | 55 · Aftercare only | $26.30 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $21.38 Typical High $32.36 | Professional | 56 · Pre-op care only | $17.38 | $21.38 | $32.36 |
Where Arkansas sits
The same service costs 3.2 times more in Wisconsin 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· 40th of 51
$257
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.