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 $398.11 Median $1,318.26 Typical High $2,454.71 | Facility | None | $398.11 | $1,318.26 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $933.25 Typical High $2,137.96 | Professional | None | $380.19 | $933.25 | $2,137.96 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,737.80 | $1,737.80 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $691.83 Typical High $3,311.31 | Professional | None | $389.05 | $691.83 | $3,311.31 |
Qualchoice Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 $316.23 Median $758.58 Typical High $3,467.37 | Professional | None | $316.23 | $758.58 | $3,467.37 |
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 $199.53 Median $371.54 Typical High $1,071.52 | Professional | 52 · Reduced service | $199.53 | $371.54 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $147.91 Typical High $426.58 | Professional | 53 · Discontinued | $79.43 | $147.91 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $562.34 Typical High $1,584.89 | Professional | 54 · Surgery only | $302.00 | $562.34 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $112.20 Typical High $316.23 | Professional | 55 · Aftercare only | $60.26 | $112.20 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $74.13 Typical High $213.80 | Professional | 56 · Pre-op care only | $39.81 | $74.13 | $213.80 |
Where Arkansas sits
The same service costs 5.5 times more in Washington 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· 20th of 51
$1,738
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.