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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,445.44 | $1,445.44 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,454.71 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,089.30 | Facility | None | $1,258.93 | $1,258.93 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,258.93 | Professional | None | $691.83 | $912.01 | $1,258.93 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,238.72 Typical High $2,630.27 | Facility | None | $691.83 | $2,238.72 | $2,630.27 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,862.09 | Professional | None | $812.83 | $1,288.25 | $1,862.09 |
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 $562.34 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $562.34 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $229.09 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $169.82 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $112.20 | $144.54 | $144.54 |
Where Arkansas sits
The same service costs 2.5 times more in Arkansas 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· 1st of 51
$2,239
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.