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 $213.80 Median $1,071.52 Typical High $2,454.71 | Facility | None | $213.80 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | None | $181.97 | $213.80 | $213.80 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $562.34 | Facility | None | $223.87 | $416.87 | $562.34 |
BCBS Arkansas Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $229.09 | Professional | None | $173.78 | $173.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $263.03 Typical High $512.86 | Facility | None | $223.87 | $263.03 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $338.84 | Professional | None | $128.82 | $169.82 | $338.84 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $741.31 | Facility | None | $79.43 | $131.83 | $741.31 |
United Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $331.13 | Professional | None | $120.23 | $165.96 | $331.13 |
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 $91.20 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $36.31 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $134.90 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $26.92 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.20 | $21.38 | $21.38 |
Where Arkansas sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 25th of 51
$209
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.