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 $138.04 Median $1,380.38 Typical High $2,818.38 | Facility | None | $138.04 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $275.42 | Professional | None | $138.04 | $208.93 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $154.88 Median $1,412.54 Typical High $1,949.84 | Facility | None | $154.88 | $1,412.54 | $1,949.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $302.00 | Professional | None | $125.89 | $165.96 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $1,230.27 | Facility | None | $134.90 | $165.96 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $173.78 Typical High $380.19 | Professional | None | $112.20 | $173.78 | $380.19 |
Qualchoice Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $426.58 | Professional | None | $371.54 | $371.54 | $426.58 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,187.76 | Facility | None | $407.38 | $588.84 | $2,187.76 |
United Setting Professional Modifier None Typical Low $117.49 Median $223.87 Typical High $707.95 | Professional | None | $117.49 | $223.87 | $707.95 |
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 $67.61 Median $87.10 Typical High $104.71 | Professional | 52 · Reduced service | $67.61 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $34.67 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $128.82 Typical High $154.88 | Professional | 54 · Surgery only | $102.33 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $25.70 Typical High $30.90 | Professional | 55 · Aftercare only | $20.42 | $25.70 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $17.38 Typical High $20.89 | Professional | 56 · Pre-op care only | $13.80 | $17.38 | $20.89 |
Where Arkansas sits
The same service costs 3.2 times more in Oklahoma than in Texas. 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
$263
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.