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 $107.15 Median $1,000.00 Typical High $2,041.74 | Facility | None | $107.15 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $194.98 Typical High $194.98 | Professional | None | $107.15 | $194.98 | $194.98 |
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 $93.33 Median $123.03 Typical High $288.40 | Professional | None | $93.33 | $123.03 | $288.40 |
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 $120.23 Median $190.55 Typical High $323.59 | Professional | None | $120.23 | $190.55 | $323.59 |
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 $83.18 Median $169.82 Typical High $275.42 | Professional | None | $83.18 | $169.82 | $275.42 |
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 $53.70 Median $85.11 Typical High $97.72 | Professional | 52 · Reduced service | $53.70 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.88 Typical High $38.90 | Professional | 53 · Discontinued | $21.38 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $128.82 Typical High $144.54 | Professional | 54 · Surgery only | $79.43 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $25.70 Typical High $28.84 | Professional | 55 · Aftercare only | $15.85 | $25.70 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $16.98 Typical High $19.50 | Professional | 56 · Pre-op care only | $10.72 | $16.98 | $19.50 |
Where Arkansas sits
The same service costs 4.2 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· 27th of 51
$195
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.