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 $95.50 Median $1,000.00 Typical High $2,041.74 | Facility | None | $95.50 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $162.18 Typical High $218.78 | Professional | None | $74.13 | $162.18 | $218.78 |
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 $72.44 Median $97.72 Typical High $223.87 | Professional | None | $72.44 | $97.72 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $154.88 | Facility | None | $120.23 | $138.04 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $120.23 Typical High $257.04 | Professional | None | $66.07 | $120.23 | $257.04 |
United Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $602.56 | Facility | None | $263.03 | $331.13 | $602.56 |
United Setting Professional Modifier None Typical Low $66.07 Median $144.54 Typical High $239.88 | Professional | None | $66.07 | $144.54 | $239.88 |
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 $47.86 Median $57.54 Typical High $109.65 | Professional | 52 · Reduced service | $47.86 | $57.54 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $43.65 | Professional | 53 · Discontinued | $19.05 | $22.91 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $85.11 Typical High $162.18 | Professional | 54 · Surgery only | $70.79 | $85.11 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $16.98 Typical High $32.36 | Professional | 55 · Aftercare only | $14.13 | $16.98 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $11.48 Typical High $21.88 | Professional | 56 · Pre-op care only | $9.55 | $11.48 | $21.88 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 15th of 51
$170
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.