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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $5,495.41 Median $6,165.95 Typical High $7,413.10 | Professional | None | $5,495.41 | $6,165.95 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,248.07 | Facility | None | $4,897.79 | $4,897.79 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $4,897.79 | Professional | None | $2,187.76 | $3,548.13 | $4,897.79 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $7,079.46 Typical High $8,317.64 | Facility | None | $4,073.80 | $7,079.46 | $8,317.64 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,235.94 Typical High $4,786.30 | Professional | None | $2,511.89 | $3,235.94 | $4,786.30 |
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $354.81 |
Where Arkansas sits
The same service costs 3.5 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· 16th of 51
$5,495
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.