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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | None | $28.18 | $33.88 | $33.88 |
BCBS Arkansas Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $70.79 | Professional | None | $53.70 | $58.88 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $50.12 | Facility | None | $33.88 | $33.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $33.88 | Professional | None | $19.50 | $25.12 | $33.88 |
United Setting Facility Modifier None Typical Low $63.10 Median $74.13 Typical High $74.13 | Facility | None | $63.10 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $41.69 | Professional | None | $20.89 | $28.84 | $41.69 |
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 $16.60 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.60 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.61 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $5.01 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.47 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.31 | $3.47 | $3.47 |
Where Arkansas sits
The same service costs 2.8 times more in Montana than in Kansas. 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· 10th of 51
$53.70
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.