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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $537.03 | Professional | None | $512.86 | $537.03 | $537.03 |
BCBS Arkansas Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,096.48 | Professional | None | $831.76 | $912.01 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $776.25 | Facility | None | $616.60 | $616.60 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $616.60 | Professional | None | $316.23 | $446.68 | $616.60 |
United Setting Facility Modifier None Typical Low $588.84 Median $1,023.29 Typical High $1,202.26 | Facility | None | $588.84 | $1,023.29 | $1,202.26 |
United Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $676.08 | Professional | None | $363.08 | $478.63 | $676.08 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $52.48 | $53.70 | $53.70 |
Where Arkansas sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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· 11th of 51
$832
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.