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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | None | $346.74 | $407.38 | $407.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $851.14 | Professional | None | $630.96 | $707.95 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $602.56 | Facility | None | $407.38 | $407.38 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $407.38 | Professional | None | $234.42 | $295.12 | $407.38 |
United Setting Facility Modifier None Typical Low $436.52 Median $758.58 Typical High $891.25 | Facility | None | $436.52 | $758.58 | $891.25 |
United Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $501.19 | Professional | None | $251.19 | $338.84 | $501.19 |
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 $186.21 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $186.21 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $74.13 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $37.15 | $40.74 | $40.74 |
Where Arkansas sits
The same service costs 4.3 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· 11th of 51
$631
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.