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 $100.00 Median $1,000.00 Typical High $2,454.71 | Facility | None | $100.00 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $134.90 | Professional | None | $100.00 | $104.71 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
BCBS Arkansas Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $177.83 | Professional | None | $131.83 | $147.91 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $645.65 Typical High $1,122.02 | Facility | None | $562.34 | $645.65 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $169.82 Typical High $229.09 | Professional | None | $91.20 | $169.82 | $229.09 |
Qualchoice Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $190.55 | Professional | None | $72.44 | $114.82 | $190.55 |
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 $50.12 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $50.12 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $26.92 | Professional | 53 · Discontinued | $19.95 | $20.89 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $79.43 Typical High $102.33 | Professional | 54 · Surgery only | $75.86 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.85 Typical High $20.42 | Professional | 55 · Aftercare only | $15.14 | $15.85 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.47 Typical High $13.49 | Professional | 56 · Pre-op care only | $10.00 | $10.47 | $13.49 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 22nd of 51
$135
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.