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 $32.36 Median $1,288.25 Typical High $2,454.71 | Facility | None | $32.36 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $52.48 | Professional | None | $31.62 | $35.48 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $72.44 | Professional | None | $52.48 | $61.66 | $72.44 |
BCBS Arkansas Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $70.79 | Professional | None | $52.48 | $52.48 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $933.25 Typical High $1,148.15 | Facility | None | $512.86 | $933.25 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Qualchoice Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | None | $70.79 | $70.79 | $85.11 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $77.62 | Professional | None | $30.20 | $46.77 | $77.62 |
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 $15.85 Median $16.60 Typical High $23.99 | Professional | 52 · Reduced service | $15.85 | $16.60 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.61 Typical High $9.55 | Professional | 53 · Discontinued | $6.46 | $6.61 | $9.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $24.55 Typical High $36.31 | Professional | 54 · Surgery only | $23.99 | $24.55 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.90 Typical High $7.24 | Professional | 55 · Aftercare only | $4.79 | $4.90 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.31 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.24 | $3.31 | $4.79 |
Where Arkansas sits
The same service costs 2.8 times more in Alaska than in California. 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
$52.48
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.