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 $83.18 Median $100.00 Typical High $125.89 | Professional | None | $83.18 | $100.00 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $45.71 Median $218.78 Typical High $302.00 | Facility | None | $45.71 | $218.78 | $302.00 |
BCBS Arkansas Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $117.49 | Professional | None | $63.10 | $85.11 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $51.29 Typical High $512.86 | Facility | None | $42.66 | $51.29 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $154.88 | Professional | None | $66.07 | $112.20 | $154.88 |
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 $61.66 Median $83.18 Typical High $158.49 | Professional | None | $61.66 | $83.18 | $158.49 |
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 $41.69 Median $44.67 Typical High $54.95 | Professional | 52 · Reduced service | $41.69 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.78 Typical High $21.88 | Professional | 53 · Discontinued | $16.60 | $17.78 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $67.61 Typical High $83.18 | Professional | 54 · Surgery only | $63.10 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.49 Typical High $16.60 | Professional | 55 · Aftercare only | $12.59 | $13.49 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.91 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.32 | $8.91 | $10.96 |
Where Arkansas sits
The same service costs 3.5 times more in Wisconsin 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· 23rd of 51
$110
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.