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 $60.26 Median $1,174.90 Typical High $2,454.71 | Facility | None | $60.26 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $190.55 Typical High $251.19 | Professional | None | $48.98 | $190.55 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | None | $57.54 | $57.54 | $70.79 |
BCBS Arkansas Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | None | $208.93 | $208.93 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $346.74 | Professional | None | $52.48 | $100.00 | $346.74 |
Qualchoice Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | None | $66.07 | $66.07 | $81.28 |
United Setting Facility Modifier None Typical Low $128.82 Median $436.52 Typical High $776.25 | Facility | None | $128.82 | $436.52 | $776.25 |
United Setting Professional Modifier None Typical Low $42.66 Median $177.83 Typical High $389.05 | Professional | None | $42.66 | $177.83 | $389.05 |
4 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 $28.18 Median $58.88 Typical High $117.49 | Professional | 52 · Reduced service | $28.18 | $58.88 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $23.44 Typical High $46.77 | Professional | 53 · Discontinued | $11.22 | $23.44 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $17.38 Typical High $35.48 | Professional | 55 · Aftercare only | $8.51 | $17.38 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $11.75 Typical High $23.44 | Professional | 56 · Pre-op care only | $5.62 | $11.75 | $23.44 |
Where Arkansas sits
The same service costs 5.2 times more in North Carolina than in Hawaii. 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· 14th of 51
$209
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.