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 $208.93 Median $1,000.00 Typical High $2,041.74 | Facility | None | $208.93 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $389.05 | Professional | None | $199.53 | $281.84 | $389.05 |
BCBS Arkansas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $457.09 | Professional | None | $346.74 | $346.74 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $660.69 | Professional | None | $190.55 | $363.08 | $660.69 |
United Setting Facility Modifier None Typical Low $128.82 Median $436.52 Typical High $776.25 | Facility | None | $128.82 | $436.52 | $776.25 |
United Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $602.56 | Professional | None | $158.49 | $309.03 | $602.56 |
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 $100.00 Median $131.83 Typical High $194.98 | Professional | 52 · Reduced service | $100.00 | $131.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $52.48 Typical High $77.62 | Professional | 53 · Discontinued | $39.81 | $52.48 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $199.53 Typical High $288.40 | Professional | 54 · Surgery only | $151.36 | $199.53 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $39.81 Typical High $57.54 | Professional | 55 · Aftercare only | $30.20 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $26.30 Typical High $38.90 | Professional | 56 · Pre-op care only | $19.95 | $26.30 | $38.90 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Virginia. 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· 18th of 51
$347
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.