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 $104.71 Median $1,023.29 Typical High $2,041.74 | Facility | None | $104.71 | $1,023.29 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $575.44 Typical High $1,023.29 | Professional | None | $104.71 | $575.44 | $1,023.29 |
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 $91.20 Median $120.23 Typical High $1,288.25 | Professional | None | $91.20 | $120.23 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $741.31 | Facility | None | $380.19 | $616.60 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $239.88 Typical High $1,412.54 | Professional | None | $104.71 | $239.88 | $1,412.54 |
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 $79.43 Median $691.83 Typical High $1,288.25 | Professional | None | $79.43 | $691.83 | $1,288.25 |
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 $50.12 Median $85.11 Typical High $512.86 | Professional | 52 · Reduced service | $50.12 | $85.11 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $33.88 Typical High $204.17 | Professional | 53 · Discontinued | $19.95 | $33.88 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $128.82 Typical High $776.25 | Professional | 54 · Surgery only | $75.86 | $128.82 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $25.70 Typical High $154.88 | Professional | 55 · Aftercare only | $15.14 | $25.70 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $81.28 Typical High $102.33 | Professional | 56 · Pre-op care only | $10.47 | $81.28 | $102.33 |
Where Arkansas sits
The same service costs 14.1 times more in Washington than in Kentucky. 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
$676
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.