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 $199.53 Median $1,000.00 Typical High $2,041.74 | Facility | None | $199.53 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $380.19 Typical High $436.52 | Professional | None | $199.53 | $380.19 | $436.52 |
BCBS Arkansas Setting Facility Modifier None Typical Low $831.76 Median $1,778.28 Typical High $2,454.71 | Facility | None | $831.76 | $1,778.28 | $2,454.71 |
BCBS Arkansas Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $588.84 | Professional | None | $169.82 | $223.87 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $794.33 Typical High $977.24 | Facility | None | $380.19 | $794.33 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $645.65 | Professional | None | $218.78 | $302.00 | $645.65 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $154.88 Median $346.74 Typical High $562.34 | Professional | None | $154.88 | $346.74 | $562.34 |
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 $97.72 Median $162.18 Typical High $218.78 | Professional | 52 · Reduced service | $97.72 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $64.57 Typical High $87.10 | Professional | 53 · Discontinued | $39.81 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $239.88 Typical High $331.13 | Professional | 54 · Surgery only | $147.91 | $239.88 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $47.86 Typical High $66.07 | Professional | 55 · Aftercare only | $29.51 | $47.86 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $32.36 Typical High $43.65 | Professional | 56 · Pre-op care only | $19.95 | $32.36 | $43.65 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 31st of 51
$372
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.