How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $158.49 Median $158.49 Typical High $169.82 | Facility | None | $158.49 | $158.49 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | None | $128.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $19.05 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $12.88 | $15.85 | $15.85 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 59 · Distinct service | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $218.78 | Professional | None | $114.82 | $147.91 | $218.78 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 59 · Distinct service | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $204.17 | Professional | None | $104.71 | $120.23 | $204.17 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 20th of 51
$148
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.