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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | None | $181.97 | $223.87 | $223.87 |
BCBS Arkansas Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $467.74 | Professional | None | $346.74 | $389.05 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $331.13 | Facility | None | $229.09 | $229.09 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $229.09 | Professional | None | $123.03 | $165.96 | $229.09 |
Qualchoice Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $467.74 | Facility | None | $229.09 | $398.11 | $467.74 |
United Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $275.42 | Professional | None | $131.83 | $190.55 | $275.42 |
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 $109.65 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $109.65 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | 55 · Aftercare only | $33.11 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 56 · Pre-op care only | $21.88 | $22.39 | $22.39 |
Where Arkansas sits
The same service costs 3.5 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
$347
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.