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 $2.34 Median $2.34 Typical High $2.34 | Facility | None | $2.34 | $2.34 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $0.85 Median $2.34 Typical High $2.34 | Professional | None | $0.85 | $2.34 | $2.34 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2.45 Median $2.75 Typical High $3.31 | Professional | None | $2.45 | $2.75 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $3.24 | Facility | None | $1.74 | $1.74 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $0.93 Median $1.48 Typical High $1.74 | Professional | None | $0.93 | $1.48 | $1.74 |
Qualchoice Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
United Setting Professional Modifier None Typical Low $0.85 Median $1.35 Typical High $1.95 | Professional | None | $0.85 | $1.35 | $1.95 |
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 $1.17 Median $1.17 Typical High $1.17 | Professional | 52 · Reduced service | $1.17 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.47 Typical High $0.47 | Professional | 53 · Discontinued | $0.47 | $0.47 | $0.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 55 · Aftercare only | $0.35 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.23 | $0.23 | $0.23 |
Where Arkansas sits
The same service costs 2.2 times more in Kansas 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· 14th of 51
$2.45
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.