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 $97.72 Median $1,000.00 Typical High $2,041.74 | Facility | None | $97.72 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $181.97 Typical High $208.93 | Professional | None | $97.72 | $181.97 | $208.93 |
BCBS Arkansas Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $1,148.15 | Facility | None | $478.63 | $851.14 | $1,148.15 |
BCBS Arkansas Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $309.03 | Professional | None | $85.11 | $112.20 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $616.60 | Facility | None | $380.19 | $478.63 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $169.82 Typical High $323.59 | Professional | None | $104.71 | $169.82 | $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 $74.13 Median $162.18 Typical High $281.84 | Professional | None | $74.13 | $162.18 | $281.84 |
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 $48.98 Median $77.62 Typical High $104.71 | Professional | 52 · Reduced service | $48.98 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $30.90 Typical High $41.69 | Professional | 53 · Discontinued | $19.50 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $114.82 Typical High $154.88 | Professional | 54 · Surgery only | $74.13 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $22.91 Typical High $30.90 | Professional | 55 · Aftercare only | $14.79 | $22.91 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $15.49 Typical High $20.89 | Professional | 56 · Pre-op care only | $9.77 | $15.49 | $20.89 |
Where Arkansas sits
The same service costs 4.1 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· 32nd 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.