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 $112.20 Median $1,174.90 Typical High $2,454.71 | Facility | None | $112.20 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $158.49 | Professional | None | $107.15 | $123.03 | $158.49 |
BCBS Arkansas Setting Facility Modifier None Typical Low $74.13 Median $660.69 Typical High $912.01 | Facility | None | $74.13 | $660.69 | $912.01 |
BCBS Arkansas Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $158.49 | Professional | None | $85.11 | $112.20 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $69.18 Typical High $107.15 | Facility | None | $64.57 | $69.18 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $213.80 | Professional | None | $89.13 | $151.36 | $213.80 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,548.82 | Facility | None | $269.15 | $389.05 | $1,548.82 |
United Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $204.17 | Professional | None | $77.62 | $117.49 | $204.17 |
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 $54.95 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $54.95 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $22.39 | $23.99 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $89.13 Typical High $114.82 | Professional | 54 · Surgery only | $83.18 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.78 Typical High $22.91 | Professional | 55 · Aftercare only | $16.60 | $17.78 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $12.02 Typical High $15.14 | Professional | 56 · Pre-op care only | $11.22 | $12.02 | $15.14 |
Where Arkansas sits
The same service costs 3.2 times more in Wisconsin than in Texas. 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
$151
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.