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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,318.26 | $1,380.38 | $1,380.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $2,818.38 | Professional | None | $2,137.96 | $2,344.23 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,041.74 | Facility | None | $1,548.82 | $1,548.82 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,548.82 | Professional | None | $831.76 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $3,235.94 | Facility | None | $1,584.89 | $2,691.53 | $3,235.94 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,778.28 | Professional | None | $912.01 | $1,174.90 | $1,778.28 |
4 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 $676.08 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $676.08 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $269.15 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $204.17 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $134.90 | $138.04 | $138.04 |
Where Arkansas sits
The same service costs 3.1 times more in Hawaii than in Delaware. 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· 16th of 51
$2,138
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.