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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | None | $70.79 | $91.20 | $91.20 |
BCBS Arkansas Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $186.21 | Professional | None | $141.25 | $154.88 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $134.90 | Facility | None | $81.28 | $81.28 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $81.28 | Professional | None | $45.71 | $58.88 | $81.28 |
United Setting Facility Modifier None Typical Low $79.43 Median $147.91 Typical High $173.78 | Facility | None | $79.43 | $147.91 | $173.78 |
United Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $112.20 | Professional | None | $48.98 | $75.86 | $112.20 |
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 $38.02 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $38.02 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $15.14 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $11.48 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.59 | $9.12 | $9.12 |
Where Arkansas sits
The same service costs 5.1 times more in Kansas than in Florida. 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
$141
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.