How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $89.13 Median $89.13 Typical High $114.82 | Facility | None | $89.13 | $89.13 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $114.82 | Professional | None | $87.10 | $100.00 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $131.83 | Professional | None | $109.65 | $128.82 | $131.83 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $83.18 Median $117.49 Typical High $147.91 | Professional | 25 · Same-day visit | $83.18 | $117.49 | $147.91 |
BCBS Arkansas Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
CareSource Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $177.83 | Professional | None | $104.71 | $151.36 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $147.91 | Professional | None | $81.28 | $109.65 | $147.91 |
Qualchoice Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $158.49 | Professional | None | $144.54 | $147.91 | $158.49 |
Qualchoice Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $134.90 Typical High $169.82 | Professional | 25 · Same-day visit | $95.50 | $134.90 | $169.82 |
United Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $131.83 | Professional | None | $70.79 | $97.72 | $131.83 |
6 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 $43.65 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $43.65 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.49 Typical High $16.98 | Professional | 55 · Aftercare only | $13.18 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $11.48 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 33 · Preventive service | $109.65 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | GC · Resident with teaching physician | $147.91 | $147.91 | $162.18 |
Qualchoice Setting Professional Modifier GC · Resident with teaching physician Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | GC · Resident with teaching physician | $169.82 | $169.82 | $186.21 |
Where Arkansas sits
The same service costs 2.7 times more in Alaska 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· 25th of 51
$110
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.