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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | None | $331.13 | $389.05 | $389.05 |
BCBS Arkansas Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $794.33 | Professional | None | $602.56 | $660.69 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $562.34 | Facility | None | $389.05 | $389.05 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $389.05 | Professional | None | $223.87 | $281.84 | $389.05 |
United Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $851.14 | Facility | None | $281.84 | $724.44 | $851.14 |
United Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $501.19 | Professional | None | $257.04 | $346.74 | $501.19 |
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 $165.96 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $165.96 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $67.61 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $50.12 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.11 | $38.90 | $38.90 |
Where Arkansas sits
The same service costs 2.6 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
$603
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.