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 $56.23 Median $66.07 Typical High $112.20 | Facility | None | $56.23 | $66.07 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $112.20 | Professional | None | $56.23 | $72.44 | $112.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Facility | None | $109.65 | $109.65 | $154.88 |
BCBS Arkansas Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $125.89 | Professional | None | $47.86 | $63.10 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $77.62 Typical High $97.72 | Professional | None | $46.77 | $77.62 | $97.72 |
United Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $398.11 | Facility | None | $173.78 | $218.78 | $398.11 |
United Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $93.33 | Professional | None | $34.67 | $46.77 | $93.33 |
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 $28.18 Median $36.31 Typical High $56.23 | Professional | 52 · Reduced service | $28.18 | $36.31 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.45 Typical High $22.39 | Professional | 53 · Discontinued | $11.22 | $14.45 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $10.72 Typical High $16.98 | Professional | 55 · Aftercare only | $8.51 | $10.72 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.24 Typical High $11.22 | Professional | 56 · Pre-op care only | $5.62 | $7.24 | $11.22 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Arkansas sits
The same service costs 2.5 times more in Alaska than in Washington, DC. 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· 39th of 51
$63.10
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.