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 $117.49 Median $117.49 Typical High $190.55 | Facility | None | $117.49 | $117.49 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $117.49 | Professional | None | $97.72 | $117.49 | $117.49 |
BCBS Arkansas Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $446.68 | Facility | None | $316.23 | $316.23 | $446.68 |
BCBS Arkansas Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | None | $97.72 | $97.72 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $173.78 | Facility | None | $112.20 | $131.83 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $158.49 | Professional | None | $74.13 | $89.13 | $158.49 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $977.24 | Facility | None | $436.52 | $537.03 | $977.24 |
United Setting Professional Modifier None Typical Low $85.11 Median $93.33 Typical High $138.04 | Professional | None | $85.11 | $93.33 | $138.04 |
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 $48.98 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $14.79 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $9.77 | $11.75 | $11.75 |
Where Arkansas sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 42nd of 51
$107
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.