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 $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.55 Typical High $3.55 | Professional | None | $3.24 | $3.55 | $3.55 |
BCBS Arkansas Setting Professional Modifier None Typical Low $4.57 Median $5.13 Typical High $6.17 | Professional | None | $4.57 | $5.13 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $5.13 | Facility | None | $3.55 | $3.55 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.95 Typical High $3.55 | Professional | None | $2.04 | $2.95 | $3.55 |
United Setting Facility Modifier None Typical Low $6.46 Median $7.59 Typical High $7.59 | Facility | None | $6.46 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.16 Typical High $4.57 | Professional | None | $2.34 | $3.16 | $4.57 |
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 $1.62 Median $1.78 Typical High $1.78 | Professional | 52 · Reduced service | $1.62 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.71 Typical High $0.71 | Professional | 53 · Discontinued | $0.65 | $0.71 | $0.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.49 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.49 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.35 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.33 | $0.35 | $0.35 |
Where Arkansas sits
The same service costs 4.9 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· 18th of 51
$4.57
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.