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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | None | $56.23 | $58.88 | $58.88 |
BCBS Arkansas Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $85.11 | Professional | None | $64.57 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $91.20 | Facility | None | $77.62 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $12.02 Median $33.88 Typical High $37.15 | Professional | None | $12.02 | $33.88 | $37.15 |
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 $28.18 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $28.18 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.22 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $8.32 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.62 | $5.89 | $5.89 |
Where Arkansas sits
The same service costs 3.0 times more in Montana than in Ohio. 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· 8th of 51
$64.57
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.