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 $39.81 Median $977.24 Typical High $2,041.74 | Facility | None | $39.81 | $977.24 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $83.18 Typical High $120.23 | Professional | None | $39.81 | $83.18 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $147.91 | Professional | None | $40.74 | $40.74 | $147.91 |
BCBS Arkansas Setting Facility Modifier None Typical Low $104.71 Median $467.74 Typical High $630.96 | Facility | None | $104.71 | $467.74 | $630.96 |
BCBS Arkansas Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $138.04 | Professional | None | $30.90 | $41.69 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $85.11 Typical High $346.74 | Facility | None | $77.62 | $85.11 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $69.18 Typical High $173.78 | Professional | None | $30.90 | $69.18 | $173.78 |
Qualchoice Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $169.82 | Professional | None | $46.77 | $46.77 | $169.82 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $776.25 | Facility | None | $79.43 | $131.83 | $776.25 |
United Setting Professional Modifier None Typical Low $28.18 Median $75.86 Typical High $177.83 | Professional | None | $28.18 | $75.86 | $177.83 |
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 $19.95 Median $31.62 Typical High $58.88 | Professional | 52 · Reduced service | $19.95 | $31.62 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $12.59 Typical High $23.99 | Professional | 53 · Discontinued | $7.94 | $12.59 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $46.77 Typical High $89.13 | Professional | 54 · Surgery only | $29.51 | $46.77 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $9.33 Typical High $17.78 | Professional | 55 · Aftercare only | $6.03 | $9.33 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.31 Typical High $12.02 | Professional | 56 · Pre-op care only | $3.98 | $6.31 | $12.02 |
Where Arkansas sits
The same service costs 5.4 times more in Wisconsin than in Hawaii. 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· 23rd of 51
$105
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.