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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $18.62 Typical High $18.62 | Professional | None | $16.22 | $18.62 | $18.62 |
BCBS Arkansas Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $52.48 | Professional | None | $39.81 | $44.67 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $20.89 Typical High $28.84 | Professional | None | $13.18 | $20.89 | $28.84 |
United Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $31.62 | Professional | None | $12.30 | $18.20 | $31.62 |
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 $8.13 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $8.13 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.24 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.75 Typical High $2.75 | Professional | 55 · Aftercare only | $2.45 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.62 | $1.82 | $1.82 |
Where Arkansas sits
The same service costs 4.1 times more in Wyoming 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· 4th of 51
$39.81
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.