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 $41.69 Median $977.24 Typical High $2,041.74 | Facility | None | $41.69 | $977.24 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $109.65 | Professional | None | $37.15 | $70.79 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
BCBS Arkansas Setting Facility Modifier None Typical Low $60.26 Median $218.78 Typical High $302.00 | Facility | None | $60.26 | $218.78 | $302.00 |
BCBS Arkansas Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $100.00 | Professional | None | $30.20 | $39.81 | $100.00 |
CareSource Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $52.48 Typical High $107.15 | Facility | None | $48.98 | $52.48 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $144.54 | Professional | None | $42.66 | $67.61 | $144.54 |
Qualchoice Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | None | $112.20 | $112.20 | $128.82 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $30.20 Median $67.61 Typical High $138.04 | Professional | None | $30.20 | $67.61 | $138.04 |
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 $20.89 Median $32.36 Typical High $47.86 | Professional | 52 · Reduced service | $20.89 | $32.36 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $12.88 Typical High $19.05 | Professional | 53 · Discontinued | $8.32 | $12.88 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $48.98 Typical High $70.79 | Professional | 54 · Surgery only | $30.90 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $9.77 Typical High $14.13 | Professional | 55 · Aftercare only | $6.17 | $9.77 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $6.46 Typical High $9.55 | Professional | 56 · Pre-op care only | $4.17 | $6.46 | $9.55 |
Where Arkansas sits
The same service costs 3.1 times more in Wisconsin than in Nebraska. 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· 20th of 51
$89.13
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.