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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,187.76 | $2,511.89 | $2,511.89 |
BCBS Arkansas Setting Professional Modifier None Typical Low $3,890.45 Median $4,365.16 Typical High $5,248.07 | Professional | None | $3,890.45 | $4,365.16 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Facility | None | $2,754.23 | $2,754.23 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,412.54 | $1,995.26 | $2,754.23 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $4,570.88 Typical High $5,370.32 | Facility | None | $2,187.76 | $4,570.88 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $3,235.94 | Professional | None | $1,659.59 | $2,290.87 | $3,235.94 |
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 $1,096.48 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,096.48 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $436.52 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $331.13 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $218.78 | $251.19 | $251.19 |
Where Arkansas sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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· 11th of 51
$3,890
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.