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 $117.49 Median $1,000.00 Typical High $2,041.74 | Facility | None | $117.49 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $162.18 | Professional | None | $81.28 | $117.49 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $147.91 | Professional | None | $75.86 | $75.86 | $147.91 |
BCBS Arkansas Setting Facility Modifier None Typical Low $87.10 Median $660.69 Typical High $891.25 | Facility | None | $87.10 | $660.69 | $891.25 |
BCBS Arkansas Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $162.18 | Professional | None | $61.66 | $81.28 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $93.33 Typical High $512.86 | Facility | None | $77.62 | $93.33 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $204.17 Typical High $275.42 | Professional | None | $83.18 | $204.17 | $275.42 |
Qualchoice Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $169.82 | Professional | None | $87.10 | $87.10 | $169.82 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,548.82 | Facility | None | $269.15 | $389.05 | $1,548.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $114.82 Typical High $199.53 | Professional | None | $53.70 | $114.82 | $199.53 |
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 $53.70 Median $58.88 Typical High $81.28 | Professional | 52 · Reduced service | $53.70 | $58.88 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $32.36 | Professional | 53 · Discontinued | $21.38 | $23.44 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $87.10 Typical High $120.23 | Professional | 54 · Surgery only | $79.43 | $87.10 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $17.38 Typical High $24.55 | Professional | 55 · Aftercare only | $15.85 | $17.38 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.75 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.72 | $11.75 | $16.22 |
Where Arkansas sits
The same service costs 3.2 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· 26th of 51
$123
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.