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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $724.44 | Professional | None | $575.44 | $724.44 | $724.44 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,479.11 | Professional | None | $1,122.02 | $1,230.27 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,071.52 | Facility | None | $724.44 | $724.44 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $724.44 | Professional | None | $416.87 | $524.81 | $724.44 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,348.96 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $933.25 | Professional | None | $478.63 | $645.65 | $933.25 |
2 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 55 · Aftercare only Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $100.00 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $67.61 | $72.44 | $72.44 |
Where Arkansas sits
The same service costs 2.4 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
$1,122
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.