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 $48.98 Median $1,174.90 Typical High $2,454.71 | Facility | None | $48.98 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $66.07 | Professional | None | $47.86 | $48.98 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
BCBS Arkansas Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Facility | None | $380.19 | $380.19 | $524.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $85.11 | Professional | None | $43.65 | $57.54 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $512.86 | Facility | None | $50.12 | $100.00 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $102.33 | Professional | None | $50.12 | $66.07 | $102.33 |
Qualchoice Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $741.31 | Facility | None | $79.43 | $131.83 | $741.31 |
United Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $109.65 | Professional | None | $38.90 | $56.23 | $109.65 |
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 $24.55 Median $24.55 Typical High $33.11 | Professional | 52 · Reduced service | $24.55 | $24.55 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $13.49 | Professional | 53 · Discontinued | $9.77 | $9.77 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $36.31 Typical High $50.12 | Professional | 54 · Surgery only | $36.31 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $10.00 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $6.61 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 31st of 51
$66.07
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.