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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $97.72 | Professional | None | $72.44 | $97.72 | $97.72 |
BCBS Arkansas Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $199.53 | Professional | None | $151.36 | $165.96 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $144.54 | Facility | None | $102.33 | $102.33 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $102.33 | Professional | None | $46.77 | $75.86 | $102.33 |
United Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $177.83 | Facility | None | $75.86 | $151.36 | $177.83 |
United Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $117.49 | Professional | None | $51.29 | $81.28 | $117.49 |
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 $40.74 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $40.74 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $12.30 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $8.13 | $9.77 | $9.77 |
Where Arkansas sits
The same service costs 3.2 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· 6th of 51
$151
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.