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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $524.81 | Professional | None | $436.52 | $524.81 | $524.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,071.52 | Professional | None | $812.83 | $891.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $758.58 | Facility | None | $512.86 | $512.86 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $512.86 | Professional | None | $295.12 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $1,122.02 | Facility | None | $478.63 | $954.99 | $1,122.02 |
United Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $645.65 | Professional | None | $316.23 | $436.52 | $645.65 |
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 $245.47 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $245.47 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $97.72 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $48.98 | $52.48 | $52.48 |
Where Arkansas sits
The same service costs 3.2 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· 7th of 51
$813
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.