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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $323.59 | Professional | None | $275.42 | $295.12 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $389.05 | Professional | None | $371.54 | $389.05 | $389.05 |
BCBS Arkansas Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $316.23 | Professional | None | $239.88 | $263.03 | $316.23 |
CareSource Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $380.19 | Professional | None | $263.03 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $446.68 | Professional | None | $239.88 | $281.84 | $446.68 |
Qualchoice Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $467.74 | Professional | None | $426.58 | $446.68 | $467.74 |
United Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $457.09 | Professional | None | $199.53 | $229.09 | $457.09 |
4 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 $147.91 Median $147.91 Typical High $154.88 | Professional | 52 · Reduced service | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $30.90 |
Where Arkansas sits
The same service costs 2.8 times more in Alaska than in New York. 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· 31st of 51
$295
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.