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 $134.90 Median $1,288.25 Typical High $2,454.71 | Facility | None | $134.90 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | None | $112.20 | $134.90 | $134.90 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $562.34 | Facility | None | $223.87 | $416.87 | $562.34 |
BCBS Arkansas Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | None | $107.15 | $107.15 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $263.03 Typical High $1,000.00 | Facility | None | $223.87 | $263.03 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $194.98 | Professional | None | $100.00 | $147.91 | $194.98 |
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 $104.71 Typical High $199.53 | Professional | None | $91.20 | $104.71 | $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 $56.23 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | 54 · Surgery only | $85.11 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $20.42 Typical High $20.42 | Professional | 55 · Aftercare only | $16.98 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $11.22 | $13.49 | $13.49 |
Where Arkansas sits
The same service costs 4.8 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· 27th of 51
$135
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.