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 $77.62 Median $1,000.00 Typical High $2,041.74 | Facility | None | $77.62 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $158.49 | Professional | None | $77.62 | $151.36 | $158.49 |
BCBS Arkansas Setting Facility Modifier None Typical Low $128.82 Median $1,096.48 Typical High $1,513.56 | Facility | None | $128.82 | $1,096.48 | $1,513.56 |
BCBS Arkansas Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $234.42 | Professional | None | $67.61 | $91.20 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $1,000.00 | Facility | None | $131.83 | $158.49 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $147.91 Typical High $239.88 | Professional | None | $83.18 | $147.91 | $239.88 |
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 $58.88 Median $123.03 Typical High $218.78 | Professional | None | $58.88 | $123.03 | $218.78 |
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 $38.90 Median $66.07 Typical High $77.62 | Professional | 52 · Reduced service | $38.90 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $26.92 Typical High $30.90 | Professional | 53 · Discontinued | $15.49 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $100.00 Typical High $114.82 | Professional | 54 · Surgery only | $58.88 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $19.95 Typical High $22.91 | Professional | 55 · Aftercare only | $11.75 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $13.18 Typical High $15.49 | Professional | 56 · Pre-op care only | $7.76 | $13.18 | $15.49 |
Where Arkansas sits
The same service costs 3.7 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· 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.