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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,691.53 | $2,754.23 | $2,754.23 |
BCBS Arkansas Setting Professional Modifier None Typical Low $4,365.16 Median $4,786.30 Typical High $5,754.40 | Professional | None | $4,365.16 | $4,786.30 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,073.80 | Facility | None | $2,884.03 | $2,884.03 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,621.81 | $2,089.30 | $2,884.03 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $6,165.95 | Facility | None | $3,019.95 | $5,248.07 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $3,548.13 | Professional | None | $1,905.46 | $2,511.89 | $3,548.13 |
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 $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $549.54 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $407.38 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $275.42 |
Where Arkansas sits
The same service costs 3.4 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· 13th of 51
$4,365
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.