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 $22.91 Median $31.62 Typical High $44.67 | Facility | None | $22.91 | $31.62 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $28.18 Typical High $36.31 | Professional | None | $18.20 | $28.18 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $38.02 | Professional | None | $25.70 | $25.70 | $38.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $16.98 Median $147.91 Typical High $204.17 | Facility | None | $16.98 | $147.91 | $204.17 |
BCBS Arkansas Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $39.81 | Professional | None | $18.62 | $24.55 | $39.81 |
CareSource Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $13.49 Typical High $107.15 | Facility | None | $12.59 | $13.49 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $42.66 Typical High $60.26 | Professional | None | $20.89 | $42.66 | $60.26 |
Qualchoice Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | None | $43.65 | $43.65 | $51.29 |
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 $17.38 Median $32.36 Typical High $54.95 | Professional | None | $17.38 | $32.36 | $54.95 |
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 $11.22 Median $12.30 Typical High $15.85 | Professional | 52 · Reduced service | $11.22 | $12.30 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.01 Typical High $6.31 | Professional | 53 · Discontinued | $4.57 | $5.01 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.72 Typical High $4.79 | Professional | 55 · Aftercare only | $3.39 | $3.72 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.51 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.29 | $2.51 | $3.16 |
Where Arkansas sits
The same service costs 3.0 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· 37th of 51
$30.20
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.