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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,715.35 | $3,890.45 | $3,890.45 |
BCBS Arkansas Setting Professional Modifier None Typical Low $6,025.60 Median $6,606.93 Typical High $7,943.28 | Professional | None | $6,025.60 | $6,606.93 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,754.40 | Facility | None | $4,677.35 | $4,677.35 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $4,677.35 | Professional | None | $2,187.76 | $3,467.37 | $4,677.35 |
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 $3,467.37 Typical High $5,011.87 | Professional | None | $2,511.89 | $3,467.37 | $5,011.87 |
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 $1,862.09 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,862.09 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $741.31 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $588.84 Typical High $588.84 | Professional | 55 · Aftercare only | $562.34 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $371.54 | $389.05 | $389.05 |
Where Arkansas sits
The same service costs 3.9 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· 13th of 51
$6,026
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.