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 $87.10 Median $1,000.00 Typical High $2,041.74 | Facility | None | $87.10 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $354.81 Typical High $407.38 | Professional | None | $87.10 | $354.81 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $5,623.41 | Facility | None | $3,630.78 | $3,630.78 | $5,623.41 |
BCBS Arkansas Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $575.44 | Professional | None | $74.13 | $97.72 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $616.60 | Professional | None | $104.71 | $173.78 | $616.60 |
Qualchoice Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $7,244.36 | Facility | None | $1,288.25 | $3,467.37 | $7,244.36 |
United Setting Professional Modifier None Typical Low $74.13 Median $338.84 Typical High $691.83 | Professional | None | $74.13 | $338.84 | $691.83 |
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 $43.65 Median $69.18 Typical High $186.21 | Professional | 52 · Reduced service | $43.65 | $69.18 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $27.54 Typical High $74.13 | Professional | 53 · Discontinued | $17.78 | $27.54 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $102.33 Typical High $281.84 | Professional | 54 · Surgery only | $66.07 | $102.33 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $20.42 Typical High $56.23 | Professional | 55 · Aftercare only | $13.18 | $20.42 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $13.80 Typical High $37.15 | Professional | 56 · Pre-op care only | $8.71 | $13.80 | $37.15 |
Where Arkansas sits
The same service costs 5.6 times more in Wisconsin than in Maryland. 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· 29th of 51
$363
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.