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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $275.42 | Professional | None | $181.97 | $275.42 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $354.81 | Professional | None | $269.15 | $295.12 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | None | $218.78 | $218.78 | $302.00 |
Qualchoice Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $489.78 | Facility | None | $416.87 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $354.81 | Professional | None | $154.88 | $239.88 | $354.81 |
7 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 $102.33 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $102.33 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $41.69 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $30.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $20.42 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | KX · Policy requirements met | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | RR · Rental | $25.70 | $25.70 | $30.20 |
Qualchoice Setting Professional Modifier KX · Policy requirements met Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | KX · Policy requirements met | $380.19 | $380.19 | $380.19 |
Where Arkansas sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 24th of 51
$275
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.