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 $245.47 Median $1,000.00 Typical High $2,041.74 | Facility | None | $245.47 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $323.59 | Professional | None | $229.09 | $245.47 | $323.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $173.78 Median $537.03 Typical High $741.31 | Facility | None | $173.78 | $537.03 | $741.31 |
BCBS Arkansas Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $380.19 | Professional | None | $218.78 | $288.40 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $177.83 Typical High $524.81 | Facility | None | $147.91 | $177.83 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $489.78 | Professional | None | $257.04 | $338.84 | $489.78 |
Qualchoice Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $1,548.82 | Facility | None | $269.15 | $363.08 | $1,548.82 |
United Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $501.19 | Professional | None | $199.53 | $288.40 | $501.19 |
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 $123.03 Median $123.03 Typical High $162.18 | Professional | 52 · Reduced service | $123.03 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $64.57 | Professional | 53 · Discontinued | $48.98 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | 54 · Surgery only | $186.21 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $48.98 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $32.36 |
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· 36th of 51
$295
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.