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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | None | $67.61 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
BCBS Arkansas Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $177.83 | Professional | None | $134.90 | $147.91 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $125.89 | Facility | None | $100.00 | $100.00 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $100.00 | Professional | None | $48.98 | $72.44 | $100.00 |
Qualchoice Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
United Setting Facility Modifier None Typical Low $158.49 Median $186.21 Typical High $186.21 | Facility | None | $158.49 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $112.20 | Professional | None | $57.54 | $77.62 | $112.20 |
2 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 55 · Aftercare only Typical Low $12.02 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $12.02 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.94 | $8.71 | $8.71 |
Where Arkansas sits
The same service costs 2.2 times more in Montana 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· 10th of 51
$135
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.