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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $467.74 | Professional | None | $380.19 | $467.74 | $467.74 |
BCBS Arkansas Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $977.24 | Professional | None | $741.31 | $812.83 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $691.83 | Facility | None | $416.87 | $416.87 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $416.87 | Professional | None | $229.09 | $302.00 | $416.87 |
United Setting Facility Modifier None Typical Low $426.58 Median $741.31 Typical High $870.96 | Facility | None | $426.58 | $741.31 | $870.96 |
United Setting Professional Modifier None Typical Low $263.03 Median $426.58 Typical High $602.56 | Professional | None | $263.03 | $426.58 | $602.56 |
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 $190.55 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $75.86 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $57.54 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $38.02 | $46.77 | $46.77 |
Where Arkansas sits
The same service costs 3.9 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· 3rd of 51
$741
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.