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 $33.88 Median $42.66 Typical High $51.29 | Facility | None | $33.88 | $42.66 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $63.10 | Professional | None | $33.11 | $45.71 | $63.10 |
BCBS Arkansas Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $79.43 | Facility | None | $58.88 | $58.88 | $79.43 |
BCBS Arkansas Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $75.86 | Professional | None | $25.70 | $33.88 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $512.86 | Facility | None | $50.12 | $107.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $48.98 Typical High $89.13 | Professional | None | $36.31 | $48.98 | $89.13 |
United Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $707.95 | Facility | None | $77.62 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $25.70 Median $48.98 Typical High $97.72 | Professional | None | $25.70 | $48.98 | $97.72 |
4 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 $16.98 Median $21.38 Typical High $25.70 | Professional | 52 · Reduced service | $16.98 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.51 Typical High $10.23 | Professional | 53 · Discontinued | $6.76 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $6.46 Typical High $7.76 | Professional | 55 · Aftercare only | $5.01 | $6.46 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.27 Typical High $5.13 | Professional | 56 · Pre-op care only | $3.39 | $4.27 | $5.13 |
Where Arkansas sits
The same service costs 3.5 times more in Wisconsin than in Utah. 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· 22nd of 51
$58.88
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.