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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,548.82 | $1,584.89 | $1,584.89 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $3,311.31 | Professional | None | $2,511.89 | $2,754.23 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,344.23 | Facility | None | $1,548.82 | $1,548.82 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,548.82 | Professional | None | $891.25 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $3,388.44 | Facility | None | $1,479.11 | $2,884.03 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,445.44 | $2,041.74 |
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 $776.25 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $776.25 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $309.03 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $234.42 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $154.88 | $158.49 | $158.49 |
Where Arkansas sits
The same service costs 3.0 times more in Iowa 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· 13th of 51
$2,512
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.