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 $91.20 Median $1,000.00 Typical High $2,454.71 | Facility | None | $91.20 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $134.90 | Professional | None | $91.20 | $102.33 | $134.90 |
BCBS Arkansas Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | None | $120.23 | $120.23 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $131.83 Typical High $208.93 | Professional | None | $53.70 | $131.83 | $208.93 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,479.11 Typical High $2,570.40 | Facility | None | $398.11 | $1,479.11 | $2,570.40 |
United Setting Professional Modifier None Typical Low $67.61 Median $104.71 Typical High $173.78 | Professional | None | $67.61 | $104.71 | $173.78 |
4 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 $45.71 Median $51.29 Typical High $67.61 | Professional | 52 · Reduced service | $45.71 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.42 Typical High $26.92 | Professional | 53 · Discontinued | $18.20 | $20.42 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $15.49 Typical High $20.42 | Professional | 55 · Aftercare only | $13.80 | $15.49 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.23 Typical High $13.49 | Professional | 56 · Pre-op care only | $9.12 | $10.23 | $13.49 |
Where Arkansas sits
The same service costs 8.7 times more in Oklahoma than in Michigan. 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· 36th 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.