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 $204.17 Median $1,479.11 Typical High $2,454.71 | Facility | None | $204.17 | $1,479.11 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $1,318.26 Typical High $2,454.71 | Professional | None | $186.21 | $1,318.26 | $2,454.71 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,951.21 Median $6,309.57 Typical High $8,709.64 | Facility | None | $2,951.21 | $6,309.57 | $8,709.64 |
BCBS Arkansas Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $2,137.96 | Professional | None | $158.49 | $208.93 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,818.38 Typical High $3,388.44 | Facility | None | $630.96 | $2,818.38 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $3,162.28 | Professional | None | $158.49 | $309.03 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $147.91 Median $1,584.89 Typical High $3,090.30 | Professional | None | $147.91 | $1,584.89 | $3,090.30 |
2 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 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $1,862.09 | Professional | 54 · Surgery only | $154.88 | $154.88 | $1,862.09 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 50 · Both sides | $2,187.76 | $2,187.76 | $2,187.76 |
Where Arkansas sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 22nd of 51
$1,820
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.