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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | None | $851.14 | $954.99 | $954.99 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,479.11 | $1,621.81 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,412.54 | Facility | None | $912.01 | $912.01 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $912.01 | Professional | None | $512.86 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,659.59 Typical High $1,949.84 | Facility | None | $812.83 | $1,659.59 | $1,949.84 |
United Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,230.27 | Professional | None | $602.56 | $851.14 | $1,230.27 |
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 $426.58 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $426.58 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $169.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $95.50 |
Where Arkansas sits
The same service costs 3.2 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· 8th of 51
$1,479
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.