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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,995.26 | $2,511.89 | $2,511.89 |
BCBS Arkansas Setting Professional Modifier None Typical Low $3,890.45 Median $4,265.80 Typical High $5,128.61 | Professional | None | $3,890.45 | $4,265.80 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,715.35 | Facility | None | $2,511.89 | $2,511.89 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,445.44 | $1,819.70 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $5,495.41 Typical High $5,495.41 | Facility | None | $2,187.76 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,235.94 | Professional | None | $1,659.59 | $2,238.72 | $3,235.94 |
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 $1,148.15 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,148.15 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $467.74 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $346.74 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $234.42 | $251.19 | $251.19 |
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· 10th of 51
$3,890
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.