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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $851.14 | Professional | None | $660.69 | $851.14 | $851.14 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,479.11 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,258.93 | Facility | None | $933.25 | $933.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $933.25 | Professional | None | $416.87 | $676.08 | $933.25 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,348.96 Typical High $1,584.89 | Facility | None | $478.63 | $1,348.96 | $1,584.89 |
United Setting Professional Modifier None Typical Low $478.63 Median $776.25 Typical High $1,096.48 | Professional | None | $478.63 | $776.25 | $1,096.48 |
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 $338.84 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $338.84 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $134.90 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $102.33 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $67.61 | $85.11 | $85.11 |
Where Arkansas sits
The same service costs 2.1 times more in Wisconsin than in Washington, DC. 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· 3rd of 51
$1,318
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.