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 $36.31 Median $46.77 Typical High $52.48 | Facility | None | $36.31 | $46.77 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $52.48 | Professional | None | $36.31 | $38.02 | $52.48 |
BCBS Arkansas Setting Facility Modifier None Typical Low $25.70 Median $147.91 Typical High $204.17 | Facility | None | $25.70 | $147.91 | $204.17 |
BCBS Arkansas Setting Professional Modifier None Typical Low $30.20 Median $40.74 Typical High $61.66 | Professional | None | $30.20 | $40.74 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $22.39 Typical High $107.15 | Facility | None | $20.42 | $22.39 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $72.44 | Professional | None | $32.36 | $51.29 | $72.44 |
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 $27.54 Median $44.67 Typical High $75.86 | Professional | None | $27.54 | $44.67 | $75.86 |
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 $18.20 Median $18.62 Typical High $26.30 | Professional | 52 · Reduced service | $18.20 | $18.62 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.59 Typical High $10.47 | Professional | 53 · Discontinued | $7.24 | $7.59 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.62 Typical High $7.94 | Professional | 55 · Aftercare only | $5.37 | $5.62 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.80 Typical High $5.25 | Professional | 56 · Pre-op care only | $3.63 | $3.80 | $5.25 |
Where Arkansas sits
The same service costs 3.3 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· 31st of 51
$46.77
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.