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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,949.84 | $2,137.96 | $2,137.96 |
BCBS Arkansas Setting Professional Modifier None Typical Low $3,311.31 Median $3,630.78 Typical High $4,365.16 | Professional | None | $3,311.31 | $3,630.78 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,090.30 | Facility | None | $2,691.53 | $2,691.53 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,174.90 | $1,949.84 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $3,801.89 Typical High $4,466.84 | Facility | None | $1,862.09 | $3,801.89 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,348.96 | $1,905.46 | $2,754.23 |
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 $1,023.29 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,023.29 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $407.38 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $309.03 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $204.17 | $213.80 | $213.80 |
Where Arkansas sits
The same service costs 2.9 times more in Hawaii 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· 14th of 51
$3,311
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.