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 $323.59 Median $1,258.93 Typical High $2,454.71 | Facility | None | $323.59 | $1,258.93 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $1,023.29 Typical High $1,258.93 | Professional | None | $323.59 | $1,023.29 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,380.38 | $1,995.26 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,548.82 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,548.82 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $1,258.93 | Professional | None | $269.15 | $354.81 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,513.56 Typical High $1,905.46 | Facility | None | $724.44 | $1,513.56 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $1,905.46 | Professional | None | $407.38 | $630.96 | $1,905.46 |
Qualchoice Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,584.89 | $1,737.80 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,096.48 | $1,513.56 | $4,466.84 |
United Setting Professional Modifier None Typical Low $288.40 Median $977.24 Typical High $2,344.23 | Professional | None | $288.40 | $977.24 | $2,344.23 |
3 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 54 · Surgery only Typical Low $239.88 Median $407.38 Typical High $933.25 | Professional | 54 · Surgery only | $239.88 | $407.38 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $81.28 Typical High $186.21 | Professional | 55 · Aftercare only | $47.86 | $81.28 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $54.95 Typical High $125.89 | Professional | 56 · Pre-op care only | $32.36 | $54.95 | $125.89 |
Where Arkansas sits
The same service costs 4.8 times more in Alaska 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· 12th of 51
$1,514
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.