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 $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.63 Typical High $3.63 | Professional | None | $3.16 | $3.63 | $3.63 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Facility | None | $3.31 | $3.31 | $3.31 |
BCBS Arkansas Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $4.17 Typical High $6.31 | Facility | None | $3.09 | $4.17 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $5.37 | Professional | None | $3.09 | $3.09 | $5.37 |
United Setting Professional Modifier None Typical Low $0.31 Median $3.16 Typical High $3.24 | Professional | None | $0.31 | $3.16 | $3.24 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.47 Median $0.55 Typical High $0.55 | Professional | 55 · Aftercare only | $0.47 | $0.55 | $0.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.37 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.32 | $0.37 | $0.37 |
Where Arkansas sits
The same service costs 3.5 times more in Oklahoma than in Virginia. 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· 7th of 51
$3.31
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.