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 $426.58 Median $1,479.11 Typical High $2,454.71 | Facility | None | $426.58 | $1,479.11 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $933.25 Typical High $2,454.71 | Professional | None | $407.38 | $933.25 | $2,454.71 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $676.08 | Professional | None | $275.42 | $338.84 | $676.08 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $8,128.31 | Facility | None | $5,248.07 | $5,248.07 | $8,128.31 |
BCBS Arkansas Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $2,630.27 | Professional | None | $354.81 | $467.74 | $2,630.27 |
CareSource Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $3,090.30 | Professional | None | $1,698.24 | $2,454.71 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $870.96 Typical High $3,311.31 | Professional | None | $426.58 | $870.96 | $3,311.31 |
Qualchoice Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $776.25 | Professional | None | $316.23 | $389.05 | $776.25 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,456.54 Typical High $10,715.19 | Facility | None | $2,511.89 | $6,456.54 | $10,715.19 |
United Setting Professional Modifier None Typical Low $346.74 Median $1,698.24 Typical High $3,630.78 | Professional | None | $346.74 | $1,698.24 | $3,630.78 |
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 $213.80 Median $407.38 Typical High $1,096.48 | Professional | 52 · Reduced service | $213.80 | $407.38 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $162.18 Typical High $436.52 | Professional | 53 · Discontinued | $85.11 | $162.18 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $616.60 Typical High $1,659.59 | Professional | 54 · Surgery only | $323.59 | $616.60 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $123.03 Typical High $331.13 | Professional | 55 · Aftercare only | $64.57 | $123.03 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $81.28 Typical High $218.78 | Professional | 56 · Pre-op care only | $42.66 | $81.28 | $218.78 |
Where Arkansas sits
The same service costs 6.3 times more in Washington 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· 24th of 51
$1,862
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.