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 $81.28 Median $87.10 Typical High $114.82 | Facility | None | $81.28 | $87.10 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $123.03 | Professional | None | $79.43 | $95.50 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $154.88 | Professional | None | $131.83 | $151.36 | $154.88 |
BCBS Arkansas Setting Facility Modifier None Typical Low $69.18 Median $245.47 Typical High $331.13 | Facility | None | $69.18 | $245.47 | $331.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $138.04 | Professional | None | $72.44 | $95.50 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $70.79 Typical High $107.15 | Facility | None | $64.57 | $70.79 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $114.82 Typical High $151.36 | Professional | None | $74.13 | $114.82 | $151.36 |
Qualchoice Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $177.83 | Professional | None | $147.91 | $151.36 | $177.83 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $147.91 | Professional | None | $61.66 | $91.20 | $147.91 |
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 $40.74 Median $40.74 Typical High $56.23 | Professional | 52 · Reduced service | $40.74 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $22.91 | Professional | 53 · Discontinued | $16.22 | $16.60 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $16.98 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.32 Typical High $11.48 | Professional | 56 · Pre-op care only | $8.13 | $8.32 | $11.48 |
Where Arkansas sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 29th of 51
$105
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.