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 $75.86 Median $1,000.00 Typical High $2,454.71 | Facility | None | $75.86 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $112.20 | Professional | None | $75.86 | $93.33 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $147.91 | Professional | None | $77.62 | $77.62 | $147.91 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $144.54 Typical High $223.87 | Professional | 50 · Both sides | $117.49 | $144.54 | $223.87 |
BCBS Arkansas Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $144.54 | Professional | None | $109.65 | $120.23 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,122.02 | Facility | None | $380.19 | $588.84 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $134.90 Typical High $199.53 | Professional | None | $72.44 | $134.90 | $199.53 |
Qualchoice Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Qualchoice Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $165.96 Typical High $257.04 | Professional | 50 · Both sides | $134.90 | $165.96 | $257.04 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $56.23 Median $93.33 Typical High $177.83 | Professional | None | $56.23 | $93.33 | $177.83 |
1 more rate 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 54 · Surgery only Typical Low $57.54 Median $64.57 Typical High $85.11 | Professional | 54 · Surgery only | $57.54 | $64.57 | $85.11 |
Where Arkansas sits
The same service costs 3.6 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· 19th of 51
$112
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.