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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,288.25 | $1,288.25 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,630.27 | Professional | None | $1,995.26 | $2,187.76 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,862.09 | Facility | None | $1,230.27 | $1,230.27 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,230.27 | Professional | None | $616.60 | $891.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,995.26 Typical High $2,344.23 | Facility | None | $977.24 | $1,995.26 | $2,344.23 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,659.59 | Professional | None | $724.44 | $1,148.15 | $1,659.59 |
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 $549.54 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $549.54 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $218.78 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $165.96 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $109.65 | $128.82 | $128.82 |
Where Arkansas sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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· 4th of 51
$1,995
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.