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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $954.99 | Professional | None | $758.58 | $954.99 | $954.99 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,479.11 | $1,621.81 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,412.54 | Facility | None | $912.01 | $912.01 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $912.01 | Professional | None | $457.09 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,479.11 Typical High $1,737.80 | Facility | None | $575.44 | $1,479.11 | $1,737.80 |
United Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,230.27 | Professional | None | $537.03 | $851.14 | $1,230.27 |
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 $380.19 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $380.19 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $151.36 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $112.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $75.86 | $95.50 | $95.50 |
Where Arkansas sits
The same service costs 2.3 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· 2nd of 51
$1,479
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.