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 $1,071.52 Typical High $2,041.74 | Facility | None | $208.93 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $371.54 | Professional | None | $208.93 | $257.04 | $371.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $758.58 Median $1,621.81 Typical High $2,238.72 | Facility | None | $758.58 | $1,621.81 | $2,238.72 |
BCBS Arkansas Setting Professional Modifier None Typical Low $158.49 Median $213.80 Typical High $407.38 | Professional | None | $158.49 | $213.80 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $954.99 | Facility | None | $380.19 | $776.25 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $257.04 Typical High $501.19 | Professional | None | $144.54 | $257.04 | $501.19 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,398.83 | Facility | None | $407.38 | $588.84 | $2,398.83 |
United Setting Professional Modifier None Typical Low $147.91 Median $275.42 Typical High $537.03 | Professional | None | $147.91 | $275.42 | $537.03 |
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 $125.89 Typical High $186.21 | Professional | 52 · Reduced service | $104.71 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $51.29 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $190.55 Typical High $275.42 | Professional | 54 · Surgery only | $154.88 | $190.55 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $38.02 Typical High $56.23 | Professional | 55 · Aftercare only | $30.90 | $38.02 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $25.70 Typical High $37.15 | Professional | 56 · Pre-op care only | $20.89 | $25.70 | $37.15 |
Where Arkansas sits
The same service costs 3.9 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· 15th of 51
$407
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.