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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $489.78 | Professional | None | $426.58 | $489.78 | $489.78 |
BCBS Arkansas Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,000.00 | Professional | None | $758.58 | $851.14 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $724.44 | Facility | None | $501.19 | $501.19 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $501.19 | Professional | None | $288.40 | $363.08 | $501.19 |
United Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $1,096.48 | Facility | None | $537.03 | $933.25 | $1,096.48 |
United Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $602.56 | Professional | None | $309.03 | $407.38 | $602.56 |
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 $234.42 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $234.42 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $93.33 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $70.79 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $46.77 | $48.98 | $48.98 |
Where Arkansas sits
The same service costs 3.9 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
$759
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.