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 $51.29 Median $100.00 Typical High $2,454.71 | Facility | None | $51.29 | $100.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $100.00 | Professional | None | $51.29 | $74.13 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $128.82 | Professional | None | $61.66 | $100.00 | $128.82 |
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 $47.86 Median $63.10 Typical High $107.15 | Professional | None | $47.86 | $63.10 | $107.15 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $512.86 | Facility | None | $50.12 | $100.00 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $151.36 | Professional | None | $51.29 | $89.13 | $151.36 |
Qualchoice Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $147.91 | Professional | None | $70.79 | $114.82 | $147.91 |
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 $44.67 Median $83.18 Typical High $158.49 | Professional | None | $44.67 | $83.18 | $158.49 |
5 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 $25.70 Median $32.36 Typical High $43.65 | Professional | 52 · Reduced service | $25.70 | $32.36 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.88 Typical High $17.38 | Professional | 53 · Discontinued | $10.47 | $12.88 | $17.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $48.98 Typical High $66.07 | Professional | 54 · Surgery only | $38.90 | $48.98 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $9.77 Typical High $13.18 | Professional | 55 · Aftercare only | $7.76 | $9.77 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.46 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.13 | $6.46 | $8.71 |
Where Arkansas sits
The same service costs 3.3 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· 29th of 51
$91.20
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.