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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,995.26 | $2,344.23 | $2,344.23 |
BCBS Arkansas Setting Professional Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $4,786.30 | Professional | None | $3,630.78 | $3,981.07 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,467.37 | Facility | None | $2,454.71 | $2,454.71 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,819.70 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $3,801.89 Typical High $4,466.84 | Facility | None | $2,187.76 | $3,801.89 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,380.38 | $2,089.30 | $3,019.95 |
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 $1,000.00 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,000.00 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $398.11 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $295.12 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $199.53 | $234.42 | $234.42 |
Where Arkansas sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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· 8th of 51
$3,631
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.