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 $331.13 Median $1,258.93 Typical High $2,454.71 | Facility | None | $331.13 | $1,258.93 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $870.96 Typical High $1,258.93 | Professional | None | $316.23 | $870.96 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,023.29 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $1,949.84 | Professional | None | $331.13 | $575.44 | $1,949.84 |
Qualchoice Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
United Setting Facility Modifier None Typical Low $128.82 Median $457.09 Typical High $776.25 | Facility | None | $128.82 | $457.09 | $776.25 |
United Setting Professional Modifier None Typical Low $263.03 Median $630.96 Typical High $2,089.30 | Professional | None | $263.03 | $630.96 | $2,089.30 |
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 $165.96 Median $302.00 Typical High $630.96 | Professional | 52 · Reduced service | $165.96 | $302.00 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $120.23 Typical High $251.19 | Professional | 53 · Discontinued | $67.61 | $120.23 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $457.09 Typical High $933.25 | Professional | 54 · Surgery only | $251.19 | $457.09 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $91.20 Typical High $190.55 | Professional | 55 · Aftercare only | $50.12 | $91.20 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $60.26 Typical High $125.89 | Professional | 56 · Pre-op care only | $33.11 | $60.26 | $125.89 |
Where Arkansas sits
The same service costs 3.5 times more in Wisconsin than in Maryland. 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
$1,023
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.