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 $19.50 Median $19.50 Typical High $20.89 | Professional | None | $19.50 | $19.50 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $31.62 | Professional | None | $25.12 | $31.62 | $31.62 |
BCBS Arkansas Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $29.51 | Professional | None | $22.39 | $22.39 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | None | $18.62 | $23.99 | $23.99 |
Qualchoice Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $36.31 | Professional | None | $28.84 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $13.18 Median $22.39 Typical High $46.77 | Professional | None | $13.18 | $22.39 | $46.77 |
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 $9.77 Median $9.77 Typical High $10.47 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.17 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $2.95 Typical High $3.16 | Professional | 55 · Aftercare only | $2.95 | $2.95 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.95 | $1.95 | $2.09 |
Where Arkansas sits
The same service costs 4.1 times more in Wyoming than in Kentucky. 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· 32nd of 51
$23.99
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.