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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $812.83 | Professional | None | $707.95 | $812.83 | $812.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,380.38 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,174.90 | Facility | None | $831.76 | $831.76 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $831.76 | Professional | None | $478.63 | $602.56 | $831.76 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,548.82 Typical High $1,819.70 | Facility | None | $870.96 | $1,548.82 | $1,819.70 |
United Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $1,000.00 | Professional | None | $512.86 | $676.08 | $1,000.00 |
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 $371.54 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $371.54 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $147.91 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $112.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $74.13 | $81.28 | $81.28 |
Where Arkansas sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 10th of 51
$1,259
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.