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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $512.86 | Professional | None | $467.74 | $512.86 | $512.86 |
BCBS Arkansas Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,071.52 | Professional | None | $812.83 | $891.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $758.58 | Facility | None | $707.95 | $707.95 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $602.56 Typical High $707.95 | Professional | None | $281.84 | $602.56 | $707.95 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $1,071.52 | Facility | None | $398.11 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $660.69 | Professional | None | $331.13 | $467.74 | $660.69 |
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 $234.42 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $234.42 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $70.79 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $46.77 | $51.29 | $51.29 |
Where Arkansas sits
The same service costs 2.0 times more in Iowa than in Florida. 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
$813
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.