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 $165.96 Median $1,000.00 Typical High $2,454.71 | Facility | None | $165.96 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $208.93 | Professional | None | $165.96 | $165.96 | $208.93 |
BCBS Arkansas Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $891.25 | Facility | None | $100.00 | $660.69 | $891.25 |
BCBS Arkansas Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $269.15 | Professional | None | $147.91 | $194.98 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $107.15 Typical High $1,000.00 | Facility | None | $95.50 | $107.15 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $275.42 Typical High $354.81 | Professional | None | $147.91 | $275.42 | $354.81 |
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 $120.23 Median $177.83 Typical High $309.03 | Professional | None | $120.23 | $177.83 | $309.03 |
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 $83.18 Median $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | 53 · Discontinued | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | 54 · Surgery only | $123.03 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $20.89 |
Where Arkansas sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 29th of 51
$204
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.