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 $120.23 Median $1,000.00 Typical High $2,041.74 | Facility | None | $120.23 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $162.18 | Professional | None | $102.33 | $123.03 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None | $181.97 | $181.97 | $213.80 |
BCBS Arkansas Setting Facility Modifier None Typical Low $91.20 Median $245.47 Typical High $331.13 | Facility | None | $91.20 | $245.47 | $331.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $190.55 | Professional | None | $104.71 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $89.13 Typical High $134.90 | Facility | None | $81.28 | $89.13 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $218.78 | Professional | None | $109.65 | $169.82 | $218.78 |
Qualchoice Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | None | $208.93 | $245.47 | $245.47 |
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 $91.20 Median $131.83 Typical High $213.80 | Professional | None | $91.20 | $131.83 | $213.80 |
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 $58.88 Median $60.26 Typical High $81.28 | Professional | 52 · Reduced service | $58.88 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $23.44 | $23.99 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $18.20 Typical High $23.99 | Professional | 55 · Aftercare only | $17.38 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.02 Typical High $16.22 | Professional | 56 · Pre-op care only | $11.75 | $12.02 | $16.22 |
Where Arkansas sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 31st of 51
$145
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.