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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $51.29 | Professional | None | $39.81 | $51.29 | $51.29 |
BCBS Arkansas Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $104.71 | Professional | None | $79.43 | $87.10 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $74.13 | Facility | None | $50.12 | $50.12 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $50.12 | Professional | None | $28.84 | $37.15 | $50.12 |
United Setting Facility Modifier None Typical Low $44.67 Median $109.65 Typical High $109.65 | Facility | None | $44.67 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $64.57 | Professional | None | $33.88 | $45.71 | $64.57 |
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 $23.44 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $23.44 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.33 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.08 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.68 | $5.13 | $5.13 |
Where Arkansas sits
The same service costs 2.8 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· 11th of 51
$79.43
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.