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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,778.28 | $1,995.26 | $1,995.26 |
BCBS Arkansas Setting Professional Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $4,073.80 | Professional | None | $3,090.30 | $3,388.44 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,951.21 | Facility | None | $2,137.96 | $2,137.96 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,230.27 | $1,584.89 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,677.35 Typical High $4,677.35 | Facility | None | $1,949.84 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,630.27 | Professional | None | $1,412.54 | $1,778.28 | $2,630.27 |
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 $977.24 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $977.24 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $389.05 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $288.40 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $194.98 | $199.53 | $199.53 |
Where Arkansas sits
The same service costs 2.6 times more in Wisconsin 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· 16th of 51
$3,090
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.