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 $107.15 Median $1,000.00 Typical High $2,041.74 | Facility | None | $107.15 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $141.25 | Professional | None | $74.13 | $107.15 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
BCBS Arkansas Setting Facility Modifier None Typical Low $52.48 Median $275.42 Typical High $380.19 | Facility | None | $52.48 | $275.42 | $380.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $120.23 | Professional | None | $50.12 | $66.07 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $524.81 | Facility | None | $47.86 | $56.23 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $158.49 Typical High $208.93 | Professional | None | $64.57 | $158.49 | $208.93 |
Qualchoice Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
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 $41.69 Median $89.13 Typical High $173.78 | Professional | None | $41.69 | $89.13 | $173.78 |
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 $36.31 Median $53.70 Typical High $70.79 | Professional | 52 · Reduced service | $36.31 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $21.38 Typical High $28.18 | Professional | 53 · Discontinued | $14.79 | $21.38 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $79.43 Typical High $104.71 | Professional | 54 · Surgery only | $54.95 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $15.85 Typical High $20.89 | Professional | 55 · Aftercare only | $10.96 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.72 Typical High $14.13 | Professional | 56 · Pre-op care only | $7.41 | $10.72 | $14.13 |
Where Arkansas sits
The same service costs 3.0 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· 25th of 51
$100
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.