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 $245.47 Median $1,174.90 Typical High $2,454.71 | Facility | None | $245.47 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $794.33 Typical High $1,174.90 | Professional | None | $239.88 | $794.33 | $1,174.90 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $4,677.35 | Facility | None | $3,019.95 | $3,019.95 | $4,677.35 |
BCBS Arkansas Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $1,258.93 | Professional | None | $194.98 | $257.04 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $478.63 Typical High $1,737.80 | Professional | None | $251.19 | $478.63 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $6,760.83 | Facility | None | $1,288.25 | $3,467.37 | $6,760.83 |
United Setting Professional Modifier None Typical Low $199.53 Median $933.25 Typical High $2,041.74 | Professional | None | $199.53 | $933.25 | $2,041.74 |
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 $123.03 Median $218.78 Typical High $588.84 | Professional | 52 · Reduced service | $123.03 | $218.78 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $89.13 Typical High $234.42 | Professional | 53 · Discontinued | $48.98 | $89.13 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $331.13 Typical High $870.96 | Professional | 54 · Surgery only | $181.97 | $331.13 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $66.07 Typical High $177.83 | Professional | 55 · Aftercare only | $37.15 | $66.07 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $44.67 Typical High $117.49 | Professional | 56 · Pre-op care only | $24.55 | $44.67 | $117.49 |
Where Arkansas sits
The same service costs 5.9 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· 29th of 51
$955
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.