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 $281.84 Median $1,071.52 Typical High $2,454.71 | Facility | None | $281.84 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $281.84 | Professional | None | $223.87 | $281.84 | $281.84 |
BCBS Arkansas Setting Facility Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,513.56 | Facility | None | $616.60 | $1,096.48 | $1,513.56 |
BCBS Arkansas Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $616.60 Typical High $1,000.00 | Facility | None | $562.34 | $616.60 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $363.08 Typical High $467.74 | Professional | None | $169.82 | $363.08 | $467.74 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $1,995.26 | Facility | None | $407.38 | $588.84 | $1,995.26 |
United Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $446.68 | Professional | None | $208.93 | $239.88 | $446.68 |
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 $112.20 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $112.20 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $44.67 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 54 · Surgery only | $165.96 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $33.88 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $22.39 | $28.18 | $28.18 |
Where Arkansas sits
The same service costs 4.7 times more in Wyoming than in Utah. 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
$282
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.