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 $128.82 Median $144.54 Typical High $165.96 | Facility | None | $128.82 | $144.54 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $165.96 | Professional | None | $109.65 | $128.82 | $165.96 |
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 $112.20 Median $147.91 Typical High $199.53 | Professional | None | $112.20 | $147.91 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $91.20 Typical High $117.49 | Facility | None | $83.18 | $91.20 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $229.09 | Professional | None | $117.49 | $177.83 | $229.09 |
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 $97.72 Median $138.04 Typical High $223.87 | Professional | None | $97.72 | $138.04 | $223.87 |
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 $61.66 Median $63.10 Typical High $83.18 | Professional | 52 · Reduced service | $61.66 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $25.70 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.05 Typical High $25.12 | Professional | 55 · Aftercare only | $18.62 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.88 Typical High $16.60 | Professional | 56 · Pre-op care only | $12.30 | $12.88 | $16.60 |
Where Arkansas sits
The same service costs 4.0 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· 32nd of 51
$151
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.