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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | None | $66.07 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
BCBS Arkansas Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $173.78 | Professional | None | $131.83 | $144.54 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $123.03 | Facility | None | $97.72 | $97.72 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $97.72 | Professional | None | $47.86 | $72.44 | $97.72 |
Qualchoice Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $181.97 | Facility | None | $154.88 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $120.23 | Professional | None | $56.23 | $75.86 | $120.23 |
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 $11.75 Median $12.59 Typical High $12.59 | Professional | 55 · Aftercare only | $11.75 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.76 | $8.51 | $8.51 |
Where Arkansas sits
The same service costs 4.2 times more in Kansas than in Delaware. 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
$132
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.