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 $162.18 Median $1,000.00 Typical High $2,041.74 | Facility | None | $162.18 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $251.19 | Professional | None | $141.25 | $194.98 | $251.19 |
BCBS Arkansas Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $2,089.30 | Facility | None | $691.83 | $1,513.56 | $2,089.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $269.15 | Professional | None | $123.03 | $162.18 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $831.76 | Facility | None | $380.19 | $676.08 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $338.84 | Professional | None | $147.91 | $223.87 | $338.84 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,238.72 | Facility | None | $407.38 | $588.84 | $2,238.72 |
United Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $331.13 | Professional | None | $109.65 | $181.97 | $331.13 |
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 $81.28 Median $85.11 Typical High $125.89 | Professional | 52 · Reduced service | $81.28 | $85.11 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $50.12 | Professional | 53 · Discontinued | $32.36 | $33.88 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $128.82 Typical High $186.21 | Professional | 54 · Surgery only | $123.03 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $25.70 Typical High $38.02 | Professional | 55 · Aftercare only | $24.55 | $25.70 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.98 Typical High $25.12 | Professional | 56 · Pre-op care only | $16.22 | $16.98 | $25.12 |
Where Arkansas sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 15th of 51
$269
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.