How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $79.43 Median $1,071.52 Typical High $2,454.71 | Facility | None | $79.43 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $151.36 | Professional | None | $79.43 | $79.43 | $151.36 |
BCBS Arkansas Setting Facility Modifier None Typical Low $323.59 Median $691.83 Typical High $954.99 | Facility | None | $323.59 | $691.83 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $1,000.00 | Facility | None | $281.84 | $338.84 | $1,000.00 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,548.82 | Facility | None | $269.15 | $389.05 | $1,548.82 |
United Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $323.59 | Professional | None | $138.04 | $169.82 | $323.59 |
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 $39.81 Median $39.81 Typical High $70.79 | Professional | 52 · Reduced service | $39.81 | $39.81 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $28.18 | Professional | 53 · Discontinued | $15.85 | $15.85 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $21.38 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $14.13 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $14.13 |
Where Arkansas sits
The same service costs 24.5 times more in Texas than in Missouri. 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· 20th of 51
$347
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.