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 $24.55 Median $31.62 Typical High $36.31 | Facility | None | $24.55 | $31.62 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $36.31 | Professional | None | $23.99 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.14 Typical High $18.20 | Professional | 52 · Reduced service | $12.30 | $15.14 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.57 Typical High $5.37 | Professional | 55 · Aftercare only | $3.63 | $4.57 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.02 Typical High $3.63 | Professional | 56 · Pre-op care only | $2.45 | $3.02 | $3.63 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | None | $38.90 | $41.69 | $41.69 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $35.48 Median $41.69 Typical High $45.71 | Professional | 25 · Same-day visit | $35.48 | $41.69 | $45.71 |
BCBS Arkansas Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
CareSource Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $57.54 | Professional | None | $33.88 | $48.98 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $33.88 Typical High $46.77 | Professional | None | $23.44 | $33.88 | $46.77 |
Qualchoice Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $51.29 | Professional | None | $44.67 | $47.86 | $51.29 |
Qualchoice Setting Professional Modifier 25 · Same-day visit Typical Low $40.74 Median $47.86 Typical High $52.48 | Professional | 25 · Same-day visit | $40.74 | $47.86 | $52.48 |
United Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $44.67 | Professional | None | $22.39 | $31.62 | $44.67 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier FP · Family planning Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | FP · Family planning | $41.69 | $41.69 | $41.69 |
Qualchoice Setting Professional Modifier 33 · Preventive service Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 33 · Preventive service | $36.31 | $36.31 | $36.31 |
Where Arkansas sits
The same service costs 2.8 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· 23rd of 51
$36.31
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.