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 $165.96 Median $1,000.00 Typical High $2,454.71 | Facility | None | $165.96 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $269.15 Typical High $363.08 | Professional | None | $158.49 | $269.15 | $363.08 |
BCBS Arkansas Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $389.05 | Professional | None | $295.12 | $295.12 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $2,041.74 | Facility | None | $562.34 | $1,122.02 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $562.34 | Professional | None | $208.93 | $263.03 | $562.34 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $144.54 Median $316.23 Typical High $616.60 | Professional | None | $144.54 | $316.23 | $616.60 |
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 $125.89 Median $199.53 Typical High $269.15 | Professional | 54 · Surgery only | $125.89 | $199.53 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $39.81 Typical High $53.70 | Professional | 55 · Aftercare only | $25.12 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $26.92 Typical High $36.31 | Professional | 56 · Pre-op care only | $16.60 | $26.92 | $36.31 |
Where Arkansas sits
The same service costs 3.4 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· 42nd of 51
$309
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.