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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $19.50 | Professional | None | $16.98 | $19.50 | $19.50 |
BCBS Arkansas Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $56.23 | Professional | None | $42.66 | $46.77 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $39.81 Typical High $54.95 | Professional | None | $13.80 | $39.81 | $54.95 |
United Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $33.88 | Professional | None | $12.88 | $19.50 | $33.88 |
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 $8.51 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $8.51 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.47 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.57 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.74 | $1.95 | $1.95 |
Where Arkansas sits
The same service costs 8.9 times more in North Dakota than in Colorado. 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· 12th of 51
$42.66
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.