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 $26.92 Median $33.11 Typical High $85.11 | Facility | None | $26.92 | $33.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $85.11 | Professional | None | $26.92 | $40.74 | $85.11 |
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 $22.39 Median $29.51 Typical High $97.72 | Professional | None | $22.39 | $29.51 | $97.72 |
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 $21.88 Median $63.10 Typical High $66.07 | Professional | None | $21.88 | $63.10 | $66.07 |
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 $17.78 Median $38.90 Typical High $74.13 | Professional | None | $17.78 | $38.90 | $74.13 |
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 $13.49 Median $20.42 Typical High $42.66 | Professional | 52 · Reduced service | $13.49 | $20.42 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $8.13 Typical High $16.98 | Professional | 53 · Discontinued | $5.37 | $8.13 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $6.17 Typical High $12.88 | Professional | 55 · Aftercare only | $4.07 | $6.17 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $4.07 Typical High $8.51 | Professional | 56 · Pre-op care only | $2.69 | $4.07 | $8.51 |
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 4.4 times more in Hawaii 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· 45th of 51
$38.90
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.