How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $2.24 Median $2.24 Typical High $2.24 | Facility | None | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $2.24 Typical High $2.24 | Professional | None | $1.86 | $2.24 | $2.24 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $2.51 Typical High $3.55 | Facility | None | $1.86 | $2.51 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
United Setting Professional Modifier None Typical Low $1.51 Median $1.66 Typical High $1.78 | Professional | None | $1.51 | $1.66 | $1.78 |
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 $0.93 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $0.93 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.45 Typical High $0.45 | Professional | 53 · Discontinued | $0.37 | $0.45 | $0.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.34 Typical High $0.34 | Professional | 55 · Aftercare only | $0.28 | $0.34 | $0.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.19 | $0.22 | $0.22 |
Where Arkansas sits
Rates are fairly even across states for this service. 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· 3rd of 51
$2.04
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.