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 $74.13 Median $977.24 Typical High $2,041.74 | Facility | None | $74.13 | $977.24 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $186.21 | Professional | None | $64.57 | $97.72 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $147.91 Typical High $177.83 | Professional | None | $85.11 | $147.91 | $177.83 |
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 $56.23 Median $74.13 Typical High $204.17 | Professional | None | $56.23 | $74.13 | $204.17 |
CareSource Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
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 $51.29 Median $85.11 Typical High $239.88 | Professional | None | $51.29 | $85.11 | $239.88 |
Qualchoice Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $269.15 | Professional | None | $204.17 | $204.17 | $269.15 |
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 $53.70 Median $107.15 Typical High $239.88 | Professional | None | $53.70 | $107.15 | $239.88 |
6 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 $37.15 Median $42.66 Typical High $85.11 | Professional | 52 · Reduced service | $37.15 | $42.66 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $33.88 | Professional | 53 · Discontinued | $14.79 | $16.98 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $64.57 Typical High $128.82 | Professional | 54 · Surgery only | $54.95 | $64.57 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.88 Typical High $25.70 | Professional | 55 · Aftercare only | $11.22 | $12.88 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.51 Typical High $16.98 | Professional | 56 · Pre-op care only | $7.41 | $8.51 | $16.98 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $67.61 Typical High $134.90 | Professional | 50 · Both sides | $67.61 | $67.61 | $134.90 |
Where Arkansas sits
The same service costs 4.0 times more in Alaska 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· 35th of 51
$117
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.