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 $70.79 Median $1,000.00 Typical High $2,041.74 | Facility | None | $70.79 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $114.82 | Professional | None | $61.66 | $95.50 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $169.82 | Professional | None | $112.20 | $131.83 | $169.82 |
BCBS Arkansas Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $977.24 | Facility | None | $630.96 | $630.96 | $977.24 |
BCBS Arkansas Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $117.49 | Professional | None | $43.65 | $57.54 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $112.20 | Professional | None | $77.62 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $109.65 Typical High $165.96 | Professional | None | $64.57 | $109.65 | $165.96 |
Qualchoice Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $151.36 | Professional | None | $128.82 | $151.36 | $151.36 |
United Setting Facility Modifier None Typical Low $144.54 Median $630.96 Typical High $1,023.29 | Facility | None | $144.54 | $630.96 | $1,023.29 |
United Setting Professional Modifier None Typical Low $42.66 Median $81.28 Typical High $154.88 | Professional | None | $42.66 | $81.28 | $154.88 |
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 $35.48 Median $45.71 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $18.20 Typical High $21.88 | Professional | 53 · Discontinued | $14.13 | $18.20 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $69.18 Typical High $81.28 | Professional | 54 · Surgery only | $52.48 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $13.80 Typical High $16.60 | Professional | 55 · Aftercare only | $10.47 | $13.80 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.12 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.08 | $9.12 | $10.96 |
Where Arkansas sits
The same service costs 2.5 times more in North Carolina than in Florida. 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· 33rd 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.