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 $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $5,370.32 Median $5,754.40 Typical High $5,754.40 | Professional | None | $5,370.32 | $5,754.40 | $5,754.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $8,912.51 Median $9,772.37 Typical High $11,748.98 | Professional | None | $8,912.51 | $9,772.37 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $8,511.38 | Facility | None | $6,606.93 | $6,606.93 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $4,897.79 Typical High $6,606.93 | Professional | None | $3,311.31 | $4,897.79 | $6,606.93 |
United Setting Facility Modifier None Typical Low $10,715.19 Median $12,589.25 Typical High $12,589.25 | Facility | None | $10,715.19 | $12,589.25 | $12,589.25 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $5,128.61 Typical High $7,413.10 | Professional | None | $3,801.89 | $5,128.61 | $7,413.10 |
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 $794.33 Median $870.96 Typical High $870.96 | Professional | 55 · Aftercare only | $794.33 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $537.03 Median $575.44 Typical High $575.44 | Professional | 56 · Pre-op care only | $537.03 | $575.44 | $575.44 |
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· 10th of 51
$8,913
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.