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 $23.99 Median $39.81 Typical High $52.48 | Facility | None | $23.99 | $39.81 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $39.81 | Professional | None | $23.99 | $31.62 | $39.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $162.18 | Facility | None | $117.49 | $117.49 | $162.18 |
BCBS Arkansas Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $48.98 | Professional | None | $19.95 | $26.30 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $512.86 | Facility | None | $50.12 | $107.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $57.54 Typical High $77.62 | Professional | None | $25.70 | $57.54 | $77.62 |
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 $37.15 Typical High $72.44 | Professional | None | $18.62 | $37.15 | $72.44 |
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 $12.02 Median $15.85 Typical High $19.95 | Professional | 52 · Reduced service | $12.02 | $15.85 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.31 Typical High $7.94 | Professional | 53 · Discontinued | $4.79 | $6.31 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.79 Typical High $5.89 | Professional | 55 · Aftercare only | $3.63 | $4.79 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $3.16 Typical High $3.98 | Professional | 56 · Pre-op care only | $2.40 | $3.16 | $3.98 |
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· 30th of 51
$37.15
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.