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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $380.19 | Professional | None | $309.03 | $380.19 | $380.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $776.25 | Professional | None | $588.84 | $645.65 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $562.34 | Facility | None | $363.08 | $363.08 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $363.08 | Professional | None | $186.21 | $263.03 | $363.08 |
United Setting Facility Modifier None Typical Low $346.74 Median $602.56 Typical High $707.95 | Facility | None | $346.74 | $602.56 | $707.95 |
United Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $489.78 | Professional | None | $213.80 | $338.84 | $489.78 |
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 $154.88 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $46.77 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $30.90 | $38.02 | $38.02 |
Where Arkansas sits
The same service costs 3.7 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· 3rd of 51
$589
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.