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 $199.53 Median $1,071.52 Typical High $2,454.71 | Facility | None | $199.53 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $204.17 | Professional | None | $194.98 | $199.53 | $204.17 |
BCBS Arkansas Setting Facility Modifier None Typical Low $165.96 Median $295.12 Typical High $407.38 | Facility | None | $165.96 | $295.12 | $407.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $229.09 | Professional | None | $173.78 | $173.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $162.18 Typical High $426.58 | Facility | None | $151.36 | $162.18 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $281.84 Typical High $309.03 | Professional | None | $165.96 | $281.84 | $309.03 |
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 $158.49 Median $186.21 Typical High $331.13 | Professional | None | $158.49 | $186.21 | $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 $97.72 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $97.72 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $38.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | 54 · Surgery only | $144.54 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 55 · Aftercare only | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $19.50 | $19.95 | $19.95 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska 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· 34th of 51
$229
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.