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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $218.78 | Professional | None | $181.97 | $218.78 | $218.78 |
BCBS Arkansas Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $446.68 | Professional | None | $338.84 | $371.54 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $316.23 | Facility | None | $190.55 | $190.55 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $190.55 | Professional | None | $109.65 | $138.04 | $190.55 |
United Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $416.87 | Facility | None | $125.89 | $354.81 | $416.87 |
United Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $263.03 | Professional | None | $117.49 | $181.97 | $263.03 |
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 $91.20 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $26.92 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $18.20 | $21.88 | $21.88 |
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· 3rd of 51
$339
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.