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 $36.31 Median $48.98 Typical High $57.54 | Facility | None | $36.31 | $48.98 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $57.54 | Professional | None | $43.65 | $48.98 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $57.54 | Professional | None | $43.65 | $46.77 | $57.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
BCBS Arkansas Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $61.66 | Professional | None | $38.90 | $51.29 | $61.66 |
CareSource Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $151.36 | Facility | None | $112.20 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $60.26 | Professional | None | $40.74 | $52.48 | $60.26 |
United Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $645.65 | Facility | None | $281.84 | $354.81 | $645.65 |
United Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $53.70 | Professional | None | $31.62 | $37.15 | $53.70 |
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 $22.91 Median $24.55 Typical High $28.84 | Professional | 52 · Reduced service | $22.91 | $24.55 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.77 Typical High $11.48 | Professional | 53 · Discontinued | $9.12 | $9.77 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $7.24 Typical High $8.51 | Professional | 55 · Aftercare only | $6.76 | $7.24 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.79 Typical High $5.75 | Professional | 56 · Pre-op care only | $4.57 | $4.79 | $5.75 |
Where Arkansas sits
The same service costs 2.9 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· 15th of 51
$48.98
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.