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 $131.83 Median $1,380.38 Typical High $2,454.71 | Facility | None | $131.83 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None | $131.83 | $131.83 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | None | $173.78 | $194.98 | $194.98 |
BCBS Arkansas Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $234.42 | Facility | None | $169.82 | $169.82 | $234.42 |
BCBS Arkansas Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $154.88 | Professional | None | $114.82 | $114.82 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $138.04 Typical High $281.84 | Facility | None | $74.13 | $138.04 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $208.93 | Professional | None | $97.72 | $123.03 | $208.93 |
Qualchoice Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $223.87 | Professional | None | $199.53 | $223.87 | $223.87 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $204.17 | Professional | None | $81.28 | $125.89 | $204.17 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 54 · Surgery only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.49 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $13.49 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 24th of 51
$166
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.