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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $323.59 | Professional | None | $229.09 | $323.59 | $323.59 |
BCBS Arkansas Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $660.69 | Professional | None | $501.19 | $549.54 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $478.63 | Facility | None | $275.42 | $275.42 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $275.42 | Professional | None | $154.88 | $199.53 | $275.42 |
United Setting Facility Modifier None Typical Low $190.55 Median $501.19 Typical High $588.84 | Facility | None | $190.55 | $501.19 | $588.84 |
United Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $416.87 | Professional | None | $181.97 | $288.40 | $416.87 |
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 $125.89 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $38.02 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $25.12 | $32.36 | $32.36 |
Where Arkansas sits
The same service costs 2.5 times more in Hawaii than in Florida. 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
$501
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.