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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $467.74 | Professional | None | $389.05 | $467.74 | $467.74 |
BCBS Arkansas Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $954.99 | Professional | None | $724.44 | $794.33 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $676.08 | Facility | None | $446.68 | $446.68 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $446.68 | Professional | None | $257.04 | $331.13 | $446.68 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $977.24 | Facility | None | $478.63 | $831.76 | $977.24 |
United Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $575.44 | Professional | None | $275.42 | $389.05 | $575.44 |
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 $208.93 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $208.93 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $83.18 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $61.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $41.69 | $46.77 | $46.77 |
Where Arkansas sits
The same service costs 4.6 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· 9th of 51
$724
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.