How much rates vary
Facilitymedian $12 · 10th to 90th $12 to $12Professionalmedian $12 · 10th to 90th $6 to $17
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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | None | $12.30 | $12.30 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 54 · Surgery only | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.23 | $1.23 | $1.23 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $22.91 Typical High $22.91 | Professional | None | $8.91 | $22.91 | $22.91 |
BCBS Arkansas Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $16.60 | Professional | None | $12.59 | $13.80 | $16.60 |
CareSource Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $16.98 | Professional | None | $6.31 | $6.31 | $16.98 |
Qualchoice Setting Professional Modifier None Typical Low $8.71 Median $26.30 Typical High $26.30 | Professional | None | $8.71 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $10.47 | Professional | None | $5.01 | $6.92 | $10.47 |
Where Arkansas sits
The same service costs 4.5 times more in Rhode Island than in New York. 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· 21st of 51
$12.30
RI $27.54NY $6.17
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.