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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,754.23 | $2,884.03 | $2,884.03 |
BCBS Arkansas Setting Professional Modifier None Typical Low $4,466.84 Median $5,011.87 Typical High $6,025.60 | Professional | None | $4,466.84 | $5,011.87 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,265.80 | Facility | None | $3,630.78 | $3,630.78 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,691.53 Typical High $3,630.78 | Professional | None | $1,621.81 | $2,691.53 | $3,630.78 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $5,248.07 Typical High $6,165.95 | Facility | None | $3,090.30 | $5,248.07 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,630.27 Typical High $3,715.35 | Professional | None | $1,905.46 | $2,630.27 | $3,715.35 |
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 $1,380.38 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,380.38 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $549.54 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $416.87 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $275.42 | $288.40 | $288.40 |
Where Arkansas sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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· 13th of 51
$4,467
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.