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 $151.36 Median $1,000.00 Typical High $2,041.74 | Facility | None | $151.36 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $213.80 Typical High $288.40 | Professional | None | $117.49 | $213.80 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
BCBS Arkansas Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,174.90 | Facility | None | $758.58 | $758.58 | $1,174.90 |
BCBS Arkansas Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $371.54 | Professional | None | $131.83 | $173.78 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $489.78 | Professional | None | $151.36 | $269.15 | $489.78 |
Qualchoice Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,174.90 Typical High $2,238.72 | Facility | None | $363.08 | $1,174.90 | $2,238.72 |
United Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $478.63 | Professional | None | $117.49 | $234.42 | $478.63 |
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 $75.86 Median $102.33 Typical High $141.25 | Professional | 52 · Reduced service | $75.86 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $40.74 Typical High $57.54 | Professional | 53 · Discontinued | $30.20 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $151.36 Typical High $213.80 | Professional | 54 · Surgery only | $112.20 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $30.20 Typical High $42.66 | Professional | 55 · Aftercare only | $22.39 | $30.20 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $20.42 Typical High $28.84 | Professional | 56 · Pre-op care only | $15.14 | $20.42 | $28.84 |
Where Arkansas sits
The same service costs 3.4 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· 21st of 51
$269
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.