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 $660.69 Median $707.95 Typical High $891.25 | Facility | None | $660.69 | $707.95 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,148.15 | Professional | None | $707.95 | $891.25 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,288.25 | $1,513.56 |
BCBS Arkansas Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Professional | None | $891.25 | $891.25 | $1,174.90 |
CareSource Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $1,122.02 | Facility | None | $512.86 | $512.86 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,288.25 | Professional | None | $724.44 | $933.25 | $1,288.25 |
Qualchoice Setting Professional Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,479.11 | $1,737.80 |
United Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $1,995.26 | Facility | None | $281.84 | $467.74 | $1,995.26 |
United Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,513.56 | Professional | None | $562.34 | $776.25 | $1,513.56 |
3 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 $354.81 Median $398.11 Typical High $446.68 | Professional | 52 · Reduced service | $354.81 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $120.23 Typical High $134.90 | Professional | 55 · Aftercare only | $104.71 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | 56 · Pre-op care only | $70.79 | $79.43 | $89.13 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 41st of 51
$891
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.