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 $53.70 Median $61.66 Typical High $75.86 | Facility | None | $53.70 | $61.66 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $75.86 | Professional | None | $44.67 | $54.95 | $75.86 |
BCBS Arkansas Setting Facility Modifier None Typical Low $37.15 Median $147.91 Typical High $204.17 | Facility | None | $37.15 | $147.91 | $204.17 |
BCBS Arkansas Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $91.20 | Professional | None | $46.77 | $63.10 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $36.31 Typical High $107.15 | Facility | None | $33.88 | $36.31 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $104.71 | Professional | None | $48.98 | $75.86 | $104.71 |
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 $40.74 Median $61.66 Typical High $102.33 | Professional | None | $40.74 | $61.66 | $102.33 |
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 $26.92 Median $27.54 Typical High $38.02 | Professional | 52 · Reduced service | $26.92 | $27.54 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.96 Typical High $15.14 | Professional | 53 · Discontinued | $10.72 | $10.96 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $11.22 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.50 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.37 | $5.50 | $7.59 |
Where Arkansas sits
The same service costs 3.5 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· 25th of 51
$69.18
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.