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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,122.02 | Professional | None | $933.25 | $1,122.02 | $1,122.02 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,737.80 | $1,949.84 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,659.59 | Facility | None | $1,174.90 | $1,174.90 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,174.90 | Professional | None | $630.96 | $870.96 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $2,398.83 | Facility | None | $1,174.90 | $2,041.74 | $2,398.83 |
United Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,380.38 | Professional | None | $676.08 | $954.99 | $1,380.38 |
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 $549.54 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $549.54 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $218.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $165.96 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $109.65 | $112.20 | $112.20 |
Where Arkansas sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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
$1,738
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.