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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,348.96 | $1,445.44 | $1,445.44 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,454.71 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,137.96 | Facility | None | $1,621.81 | $1,621.81 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,621.81 | Professional | None | $870.96 | $1,202.26 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $3,311.31 | Facility | None | $1,479.11 | $2,818.38 | $3,311.31 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,862.09 | Professional | None | $933.25 | $1,202.26 | $1,862.09 |
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 $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $676.08 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $275.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $204.17 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $134.90 | $144.54 | $144.54 |
Where Arkansas sits
The same service costs 2.7 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· 14th of 51
$2,239
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.