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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,412.54 | $1,412.54 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,454.71 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,089.30 | Facility | None | $1,584.89 | $1,584.89 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,584.89 | Professional | None | $776.25 | $1,174.90 | $1,584.89 |
Qualchoice Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,511.89 Typical High $2,951.21 | Facility | None | $1,258.93 | $2,511.89 | $2,951.21 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,819.70 | Professional | None | $912.01 | $1,288.25 | $1,819.70 |
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 $691.83 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $691.83 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $275.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $208.93 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $138.04 | $141.25 | $141.25 |
Where Arkansas sits
The same service costs 2.7 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· 12th of 51
$2,188
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.