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 $20.89 Median $20.89 Typical High $91.20 | Facility | None | $20.89 | $20.89 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $91.20 | Professional | None | $20.89 | $25.70 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
BCBS Arkansas Setting Facility Modifier None Typical Low $77.62 Median $147.91 Typical High $204.17 | Facility | None | $77.62 | $147.91 | $204.17 |
BCBS Arkansas Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $112.20 | Professional | None | $16.98 | $22.39 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $1,000.00 | Facility | None | $57.54 | $64.57 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $57.54 Typical High $123.03 | Professional | None | $20.89 | $57.54 | $123.03 |
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 $15.14 Median $64.57 Typical High $114.82 | Professional | None | $15.14 | $64.57 | $114.82 |
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 $10.47 Median $12.88 Typical High $45.71 | Professional | 52 · Reduced service | $10.47 | $12.88 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.13 Typical High $18.20 | Professional | 53 · Discontinued | $4.17 | $5.13 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $8.71 Typical High $13.80 | Professional | 55 · Aftercare only | $3.09 | $8.71 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $5.89 Typical High $9.12 | Professional | 56 · Pre-op care only | $2.04 | $5.89 | $9.12 |
Where Arkansas sits
The same service costs 5.9 times more in Iowa than in Kentucky. 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· 13th of 51
$83.18
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.