How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | None | $23.44 | $28.18 | $28.18 |
BCBS Arkansas Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $38.90 | Professional | None | $29.51 | $32.36 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $21.88 | Facility | None | $18.20 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $21.88 | Professional | None | $12.30 | $18.62 | $21.88 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $23.99 | Professional | None | $10.96 | $16.98 | $23.99 |
2 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 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.82 |
Where Arkansas sits
The same service costs 2.9 times more in Hawaii than in Rhode Island. 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· 14th of 51
$29.51
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.