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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | None | $245.47 | $269.15 | $269.15 |
BCBS Arkansas Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $549.54 | Professional | None | $416.87 | $457.09 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $398.11 | Facility | None | $354.81 | $354.81 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $354.81 | Professional | None | $165.96 | $257.04 | $354.81 |
United Setting Facility Modifier None Typical Low $234.42 Median $537.03 Typical High $630.96 | Facility | None | $234.42 | $537.03 | $630.96 |
United Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $346.74 | Professional | None | $177.83 | $229.09 | $346.74 |
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 $131.83 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $131.83 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $52.48 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $38.90 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.30 | $26.92 | $26.92 |
Where Arkansas sits
The same service costs 3.5 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· 14th of 51
$417
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.