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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $489.78 | Professional | None | $380.19 | $489.78 | $489.78 |
BCBS Arkansas Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,000.00 | Professional | None | $758.58 | $831.76 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $707.95 | Facility | None | $489.78 | $489.78 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $489.78 | Professional | None | $234.42 | $354.81 | $489.78 |
United Setting Facility Modifier None Typical Low $165.96 Median $758.58 Typical High $891.25 | Facility | None | $165.96 | $758.58 | $891.25 |
United Setting Professional Modifier None Typical Low $269.15 Median $436.52 Typical High $588.84 | Professional | None | $269.15 | $436.52 | $588.84 |
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 $199.53 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $81.28 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $60.26 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $40.74 | $48.98 | $48.98 |
Where Arkansas sits
The same service costs 2.4 times more in Iowa than in Kansas. 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· 2nd of 51
$759
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.