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 $288.40 Median $1,071.52 Typical High $2,454.71 | Facility | None | $288.40 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $933.25 Typical High $1,513.56 | Professional | None | $281.84 | $933.25 | $1,513.56 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,258.93 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $575.44 Typical High $2,187.76 | Professional | None | $295.12 | $575.44 | $2,187.76 |
United Setting Facility Modifier None Typical Low $128.82 Median $436.52 Typical High $776.25 | Facility | None | $128.82 | $436.52 | $776.25 |
United Setting Professional Modifier None Typical Low $229.09 Median $1,122.02 Typical High $2,344.23 | Professional | None | $229.09 | $1,122.02 | $2,344.23 |
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 $144.54 Median $275.42 Typical High $758.58 | Professional | 52 · Reduced service | $144.54 | $275.42 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $109.65 Typical High $302.00 | Professional | 53 · Discontinued | $57.54 | $109.65 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $416.87 Typical High $1,122.02 | Professional | 54 · Surgery only | $218.78 | $416.87 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $83.18 Typical High $223.87 | Professional | 55 · Aftercare only | $43.65 | $83.18 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $54.95 Typical High $151.36 | Professional | 56 · Pre-op care only | $28.84 | $54.95 | $151.36 |
Where Arkansas sits
The same service costs 6.5 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· 21st of 51
$1,259
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.