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 $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,290.87 | $2,630.27 | $2,630.27 |
BCBS Arkansas Setting Professional Modifier None Typical Low $4,073.80 Median $4,466.84 Typical High $5,370.32 | Professional | None | $4,073.80 | $4,466.84 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,801.89 | Facility | None | $2,754.23 | $2,754.23 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,584.89 | $2,041.74 | $2,754.23 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $5,128.61 Typical High $6,025.60 | Facility | None | $2,454.71 | $5,128.61 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,344.23 | $3,388.44 |
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 $1,258.93 Median $1,318.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,258.93 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $512.86 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $380.19 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | 56 · Pre-op care only | $257.04 | $263.03 | $263.03 |
Where Arkansas sits
The same service costs 2.8 times more in Wyoming 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· 13th of 51
$4,074
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.