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 $70.79 Median $75.86 Typical High $104.71 | Facility | None | $70.79 | $75.86 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $109.65 | Professional | None | $58.88 | $77.62 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $138.04 | Professional | None | $97.72 | $138.04 | $138.04 |
BCBS Arkansas Setting Facility Modifier None Typical Low $57.54 Median $147.91 Typical High $204.17 | Facility | None | $57.54 | $147.91 | $204.17 |
BCBS Arkansas Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $117.49 | Professional | None | $43.65 | $57.54 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $61.66 Typical High $107.15 | Facility | None | $57.54 | $61.66 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $141.25 | Professional | None | $61.66 | $97.72 | $141.25 |
Qualchoice Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $158.49 | Professional | None | $134.90 | $158.49 | $158.49 |
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 $39.81 Median $79.43 Typical High $134.90 | Professional | None | $39.81 | $79.43 | $134.90 |
6 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 $35.48 Median $35.48 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $20.89 | Professional | 53 · Discontinued | $14.13 | $14.13 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $15.49 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $10.47 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | GC · Resident with teaching physician | $54.95 | $54.95 | $54.95 |
Qualchoice Setting Professional Modifier GC · Resident with teaching physician Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | GC · Resident with teaching physician | $63.10 | $63.10 | $63.10 |
Where Arkansas sits
The same service costs 3.8 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
$89.13
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.