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 $380.19 Median $1,318.26 Typical High $2,454.71 | Facility | None | $380.19 | $1,318.26 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $933.25 Typical High $1,862.09 | Professional | None | $338.84 | $933.25 | $1,862.09 |
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 $316.23 Median $416.87 Typical High $2,041.74 | Professional | None | $316.23 | $416.87 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $776.25 Typical High $2,511.89 | Professional | None | $389.05 | $776.25 | $2,511.89 |
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 $309.03 Median $1,380.38 Typical High $2,884.03 | Professional | None | $309.03 | $1,380.38 | $2,884.03 |
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 $190.55 Median $363.08 Typical High $831.76 | Professional | 52 · Reduced service | $190.55 | $363.08 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $144.54 Typical High $331.13 | Professional | 53 · Discontinued | $75.86 | $144.54 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $549.54 Typical High $1,258.93 | Professional | 54 · Surgery only | $281.84 | $549.54 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $109.65 Typical High $251.19 | Professional | 55 · Aftercare only | $56.23 | $109.65 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $72.44 Typical High $165.96 | Professional | 56 · Pre-op care only | $38.02 | $72.44 | $165.96 |
Where Arkansas sits
The same service costs 5.6 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· 22nd of 51
$1,549
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.