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 $131.83 Median $1,071.52 Typical High $2,454.71 | Facility | None | $131.83 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $131.83 | Professional | None | $104.71 | $131.83 | $131.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $562.34 | Facility | None | $416.87 | $416.87 | $562.34 |
BCBS Arkansas Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $131.83 | Professional | None | $97.72 | $97.72 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,122.02 | Facility | None | $512.86 | $676.08 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $162.18 Typical High $190.55 | Professional | None | $93.33 | $162.18 | $190.55 |
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 $91.20 Median $107.15 Typical High $199.53 | Professional | None | $91.20 | $107.15 | $199.53 |
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 $51.29 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $20.89 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $100.00 Typical High $100.00 | Professional | 54 · Surgery only | $77.62 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $15.49 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $10.23 | $13.18 | $13.18 |
Where Arkansas sits
The same service costs 4.0 times more in Alaska than in Florida. 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
$132
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.