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 $588.84 Median $1,071.52 Typical High $2,454.71 | Facility | None | $588.84 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $588.84 | Professional | None | $575.44 | $588.84 | $588.84 |
BCBS Arkansas Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $407.38 | Facility | None | $229.09 | $295.12 | $407.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $660.69 | Professional | None | $501.19 | $501.19 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $512.86 | Facility | None | $204.17 | $245.47 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $776.25 Typical High $831.76 | Professional | None | $371.54 | $776.25 | $831.76 |
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 $436.52 Median $549.54 Typical High $954.99 | Professional | None | $436.52 | $549.54 | $954.99 |
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 $281.84 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $281.84 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $114.82 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $426.58 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $85.11 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $56.23 | $58.88 | $58.88 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 51st of 51
$427
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.