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 $102.33 Median $794.33 Typical High $1,862.09 | Facility | None | $102.33 | $794.33 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $144.54 Typical High $194.98 | Professional | None | $85.11 | $144.54 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $251.19 | Professional | None | $112.20 | $131.83 | $251.19 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $660.69 Typical High $891.25 | Facility | None | $363.08 | $660.69 | $891.25 |
BCBS Arkansas Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $229.09 | Professional | None | $89.13 | $117.49 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $512.86 | Facility | None | $50.12 | $107.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $281.84 | Professional | None | $102.33 | $169.82 | $281.84 |
Qualchoice Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $288.40 | Professional | None | $128.82 | $151.36 | $288.40 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $302.00 | Professional | None | $74.13 | $151.36 | $302.00 |
7 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 $51.29 Median $64.57 Typical High $93.33 | Professional | 52 · Reduced service | $51.29 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.70 Typical High $38.02 | Professional | 53 · Discontinued | $20.42 | $25.70 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $97.72 Typical High $141.25 | Professional | 54 · Surgery only | $77.62 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.50 Typical High $28.18 | Professional | 55 · Aftercare only | $15.49 | $19.50 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.88 Typical High $19.05 | Professional | 56 · Pre-op care only | $10.23 | $12.88 | $19.05 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $158.49 Median $181.97 Typical High $380.19 | Professional | 50 · Both sides | $158.49 | $181.97 | $380.19 |
Qualchoice Setting Professional Modifier 50 · Both sides Typical Low $181.97 Median $208.93 Typical High $436.52 | Professional | 50 · Both sides | $181.97 | $208.93 | $436.52 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska than in Virginia. 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
$174
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.