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 $186.21 Median $1,318.26 Typical High $2,454.71 | Facility | None | $186.21 | $1,318.26 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $1,318.26 Typical High $1,905.46 | Professional | None | $169.82 | $1,318.26 | $1,905.46 |
Ambetter Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS Arkansas Setting Facility Modifier None Typical Low $954.99 Median $1,737.80 Typical High $2,398.83 | Facility | None | $954.99 | $1,737.80 | $2,398.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $1,737.80 | Professional | None | $147.91 | $194.98 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,258.93 | Facility | None | $588.84 | $1,071.52 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $354.81 Typical High $2,691.53 | Professional | None | $190.55 | $354.81 | $2,691.53 |
Qualchoice Setting Professional Modifier None Typical Low $1,995.26 Median $2,951.21 Typical High $2,951.21 | Professional | None | $1,995.26 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $147.91 Median $1,380.38 Typical High $2,951.21 | Professional | None | $147.91 | $1,380.38 | $2,951.21 |
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 $93.33 Median $104.71 Typical High $954.99 | Professional | 52 · Reduced service | $93.33 | $104.71 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $41.69 Typical High $380.19 | Professional | 53 · Discontinued | $37.15 | $41.69 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $158.49 Typical High $1,412.54 | Professional | 54 · Surgery only | $138.04 | $158.49 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $31.62 Typical High $281.84 | Professional | 55 · Aftercare only | $27.54 | $31.62 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $20.89 Typical High $190.55 | Professional | 56 · Pre-op care only | $18.62 | $20.89 | $190.55 |
Where Arkansas sits
The same service costs 8.5 times more in Wisconsin than in Nebraska. 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· 30th of 51
$1,318
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.