How much rates vary
Facilitymedian $138 · 10th to 90th $123 to $178Professionalmedian $151 · 10th to 90th $110 to $204
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 $109.65 Median $138.04 Typical High $181.97 | Facility | None | $109.65 | $138.04 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $181.97 | Professional | None | $109.65 | $138.04 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $190.55 | Professional | None | $95.50 | $151.36 | $190.55 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $128.82 Median $162.18 Typical High $208.93 | Professional | 25 · Same-day visit | $128.82 | $162.18 | $208.93 |
BCBS Arkansas Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $177.83 | Facility | None | $125.89 | $125.89 | $177.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | None | $165.96 | $165.96 | $204.17 |
CareSource Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $251.19 | Professional | None | $147.91 | $218.78 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $125.89 Typical High $169.82 | Facility | None | $95.50 | $125.89 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $208.93 | Professional | None | $123.03 | $151.36 | $208.93 |
Qualchoice Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $218.78 | Professional | None | $91.20 | $173.78 | $218.78 |
Qualchoice Setting Professional Modifier 25 · Same-day visit Typical Low $147.91 Median $186.21 Typical High $239.88 | Professional | 25 · Same-day visit | $147.91 | $186.21 | $239.88 |
United Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $186.21 | Professional | None | $109.65 | $144.54 | $186.21 |
13 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 Facility Modifier 52 · Reduced service Typical Low $66.07 Median $69.18 Typical High $87.10 | Facility | 52 · Reduced service | $66.07 | $69.18 | $87.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.95 Median $20.89 Typical High $26.30 | Facility | 55 · Aftercare only | $19.95 | $20.89 | $26.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.80 Typical High $17.38 | Facility | 56 · Pre-op care only | $13.18 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $69.18 Typical High $87.10 | Professional | 52 · Reduced service | $64.57 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $20.89 Typical High $26.30 | Professional | 55 · Aftercare only | $19.50 | $20.89 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.80 Typical High $17.38 | Professional | 56 · Pre-op care only | $13.18 | $13.80 | $17.38 |
Ambetter Setting Professional Modifier 57 · Decision for surgery Typical Low $128.82 Median $162.18 Typical High $213.80 | Professional | 57 · Decision for surgery | $128.82 | $162.18 | $213.80 |
Ambetter Setting Professional Modifier CG · Policy criteria applied Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | CG · Policy criteria applied | $158.49 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier FS · Shared visit Typical Low $123.03 Median $169.82 Typical High $169.82 | Professional | FS · Shared visit | $123.03 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | GC · Resident with teaching physician | $162.18 | $162.18 | $213.80 |
Qualchoice Setting Professional Modifier 57 · Decision for surgery Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | 57 · Decision for surgery | $186.21 | $186.21 | $245.47 |
Qualchoice Setting Professional Modifier FS · Shared visit Typical Low $141.25 Median $194.98 Typical High $194.98 | Professional | FS · Shared visit | $141.25 | $194.98 | $194.98 |
Qualchoice Setting Professional Modifier GC · Resident with teaching physician Typical Low $186.21 Median $186.21 Typical High $269.15 | Professional | GC · Resident with teaching physician | $186.21 | $186.21 | $269.15 |
Where Arkansas sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 26th of 51
$151
AK $263AL $115
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.