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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,000.00 | Professional | None | $954.99 | $1,000.00 | $1,000.00 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,548.82 | $1,698.24 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,380.38 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,380.38 | Professional | None | $630.96 | $1,023.29 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,041.74 Typical High $2,398.83 | Facility | None | $1,000.00 | $2,041.74 | $2,398.83 |
United Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,348.96 | Professional | None | $691.83 | $891.25 | $1,348.96 |
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 $478.63 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $478.63 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $194.98 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $144.54 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $95.50 | $100.00 | $100.00 |
Where Arkansas sits
The same service costs 2.7 times more in Hawaii than in Florida. 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
$1,549
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.