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 $23.44 Median $38.02 Typical High $54.95 | Facility | None | $23.44 | $38.02 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $38.02 | Professional | None | $23.44 | $29.51 | $38.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $21.88 Median $147.91 Typical High $204.17 | Facility | None | $21.88 | $147.91 | $204.17 |
BCBS Arkansas Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $45.71 | Professional | None | $19.95 | $26.30 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $17.38 Typical High $107.15 | Facility | None | $15.85 | $17.38 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $66.07 Typical High $85.11 | Professional | None | $23.99 | $66.07 | $85.11 |
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 $18.62 Median $38.90 Typical High $69.18 | Professional | None | $18.62 | $38.90 | $69.18 |
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 $11.75 Median $14.79 Typical High $18.62 | Professional | 52 · Reduced service | $11.75 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.89 Typical High $7.59 | Professional | 53 · Discontinued | $4.68 | $5.89 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $4.47 Typical High $5.62 | Professional | 55 · Aftercare only | $3.55 | $4.47 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.95 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.34 | $2.95 | $3.80 |
Where Arkansas sits
The same service costs 3.5 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· 34th of 51
$34.67
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.