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 $38.02 Median $1,000.00 Typical High $2,454.71 | Facility | None | $38.02 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $97.72 Typical High $151.36 | Professional | None | $36.31 | $97.72 | $151.36 |
BCBS Arkansas Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Facility | None | $309.03 | $309.03 | $426.58 |
BCBS Arkansas Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $177.83 | Professional | None | $33.88 | $44.67 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $977.24 | Facility | None | $87.10 | $102.33 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $85.11 Typical High $239.88 | Professional | None | $42.66 | $85.11 | $239.88 |
Qualchoice Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $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 $28.18 Median $95.50 Typical High $213.80 | Professional | None | $28.18 | $95.50 | $213.80 |
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 $28.84 Median $38.02 Typical High $112.20 | Professional | 54 · Surgery only | $28.84 | $38.02 | $112.20 |
Where Arkansas sits
The same service costs 5.1 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· 16th of 51
$132
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.