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 $40.74 Typical High $93.33 | Facility | None | $36.31 | $40.74 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $52.48 Typical High $93.33 | Professional | None | $31.62 | $52.48 | $93.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $91.20 | Facility | None | $64.57 | $64.57 | $91.20 |
BCBS Arkansas Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $104.71 | Professional | None | $30.20 | $39.81 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $56.23 Typical High $64.57 | Facility | None | $48.98 | $56.23 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $60.26 Typical High $120.23 | Professional | None | $28.18 | $60.26 | $120.23 |
United Setting Facility Modifier None Typical Low $95.50 Median $117.49 Typical High $213.80 | Facility | None | $95.50 | $117.49 | $213.80 |
United Setting Professional Modifier None Typical Low $25.70 Median $66.07 Typical High $104.71 | Professional | None | $25.70 | $66.07 | $104.71 |
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 $17.78 Median $28.84 Typical High $45.71 | Professional | 52 · Reduced service | $17.78 | $28.84 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $11.48 Typical High $18.62 | Professional | 53 · Discontinued | $7.24 | $11.48 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $8.71 Typical High $13.80 | Professional | 55 · Aftercare only | $5.37 | $8.71 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $5.75 Typical High $9.33 | Professional | 56 · Pre-op care only | $3.63 | $5.75 | $9.33 |
Where Arkansas sits
The same service costs 3.6 times more in North Carolina than in Washington, DC. 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· 44th of 51
$64.57
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.