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 $190.55 Median $1,000.00 Typical High $2,454.71 | Facility | None | $190.55 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $204.17 Typical High $407.38 | Professional | None | $190.55 | $204.17 | $407.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $575.44 | Professional | None | $436.52 | $436.52 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,122.02 | Facility | None | $512.86 | $676.08 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $741.31 | Facility | None | $79.43 | $131.83 | $741.31 |
United Setting Professional Modifier None Typical Low $194.98 Median $416.87 Typical High $676.08 | Professional | None | $194.98 | $416.87 | $676.08 |
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 $95.50 Median $97.72 Typical High $204.17 | Professional | 52 · Reduced service | $95.50 | $97.72 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $81.28 | Professional | 53 · Discontinued | $38.02 | $38.90 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $147.91 Typical High $309.03 | Professional | 54 · Surgery only | $141.25 | $147.91 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $29.51 Typical High $61.66 | Professional | 55 · Aftercare only | $28.18 | $29.51 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.50 Typical High $40.74 | Professional | 56 · Pre-op care only | $19.05 | $19.50 | $40.74 |
Where Arkansas sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 19th of 51
$407
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.