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 $66.07 Median $1,174.90 Typical High $2,454.71 | Facility | None | $66.07 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $97.72 | Professional | None | $66.07 | $87.10 | $97.72 |
BCBS Arkansas Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $114.82 | Professional | None | $87.10 | $87.10 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $977.24 Typical High $1,148.15 | Facility | None | $512.86 | $977.24 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $144.54 | Professional | None | $64.57 | $102.33 | $144.54 |
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 $56.23 Median $97.72 Typical High $194.98 | Professional | None | $56.23 | $97.72 | $194.98 |
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 $33.11 Median $38.02 Typical High $48.98 | Professional | 52 · Reduced service | $33.11 | $38.02 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.14 Typical High $19.50 | Professional | 53 · Discontinued | $13.49 | $15.14 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $56.23 Typical High $74.13 | Professional | 54 · Surgery only | $50.12 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.22 Typical High $14.79 | Professional | 55 · Aftercare only | $10.00 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.59 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.61 | $7.59 | $9.77 |
Where Arkansas sits
The same service costs 3.7 times more in Wisconsin 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· 33rd of 51
$100
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.