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 $100.00 Median $1,000.00 Typical High $2,041.74 | Facility | None | $100.00 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $165.96 Typical High $186.21 | Professional | None | $100.00 | $165.96 | $186.21 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,348.96 Median $2,630.27 Typical High $3,548.13 | Facility | None | $1,348.96 | $2,630.27 | $3,548.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $281.84 | Professional | None | $87.10 | $117.49 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,230.27 Typical High $1,548.82 | Facility | None | $380.19 | $1,230.27 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $309.03 | Professional | None | $102.33 | $169.82 | $309.03 |
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 $77.62 Median $158.49 Typical High $263.03 | Professional | None | $77.62 | $158.49 | $263.03 |
6 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 $48.98 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $48.98 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $28.18 Typical High $37.15 | Professional | 53 · Discontinued | $19.95 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $104.71 Typical High $138.04 | Professional | 54 · Surgery only | $74.13 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $20.89 Typical High $28.18 | Professional | 55 · Aftercare only | $14.79 | $20.89 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $14.13 Typical High $18.62 | Professional | 56 · Pre-op care only | $10.00 | $14.13 | $18.62 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 33 · Preventive service | $83.18 | $83.18 | $83.18 |
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· 28th of 51
$182
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.