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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.80 Typical High $13.80 | Professional | None | $12.88 | $13.80 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $29.51 | Professional | None | $13.49 | $15.85 | $29.51 |
BCBS Arkansas Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $354.81 | Facility | None | $251.19 | $251.19 | $354.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $20.42 | Professional | None | $15.49 | $15.49 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Qualchoice Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
United Setting Facility Modifier None Typical Low $14.45 Median $15.85 Typical High $15.85 | Facility | None | $14.45 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $25.12 | Professional | None | $12.88 | $15.49 | $25.12 |
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 $6.61 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.61 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.63 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.09 Typical High $2.09 | Professional | 55 · Aftercare only | $2.00 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.38 Typical High $1.38 | Professional | 56 · Pre-op care only | $1.32 | $1.38 | $1.38 |
Where Arkansas sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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· 39th of 51
$15.49
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.