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 $93.33 Median $93.33 Typical High $134.90 | Facility | None | $93.33 | $93.33 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $93.33 | Professional | None | $70.79 | $93.33 | $93.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $57.54 | Facility | None | $39.81 | $39.81 | $57.54 |
BCBS Arkansas Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None | $74.13 | $74.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $112.20 Typical High $131.83 | Facility | None | $100.00 | $112.20 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $123.03 | Professional | None | $53.70 | $67.61 | $123.03 |
United Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $138.04 | Facility | None | $61.66 | $75.86 | $138.04 |
United Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $102.33 | Professional | None | $61.66 | $69.18 | $102.33 |
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 $34.67 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $34.67 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $14.13 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.08 | $9.33 | $9.33 |
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· 46th of 51
$74.13
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.