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 $23.44 Median $23.44 Typical High $28.18 | Facility | None | $23.44 | $23.44 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $14.13 | $23.44 | $23.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $28.18 | Facility | None | $20.89 | $20.89 | $28.18 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $25.12 | Professional | None (both parts) | $18.62 | $18.62 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $34.67 | Facility | None | $14.45 | $23.99 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | None (both parts) | $20.89 | $20.89 | $26.30 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $18.20 | Facility | None | $16.60 | $16.60 | $18.20 |
United Setting Professional Modifier None (both parts) Typical Low $7.41 Median $10.96 Typical High $18.62 | Professional | None (both parts) | $7.41 | $10.96 | $18.62 |
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 $6.92 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $6.92 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $2.82 | $4.68 | $4.68 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $1.32 Median $1.32 Typical High $1.74 | Professional | 26 · Professional part | $1.32 | $1.32 | $1.74 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $22.91 | Professional | TC · Technical part | $17.38 | $17.38 | $22.91 |
Where Arkansas sits
The same service costs 4.0 times more in Alaska 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· 11th of 51
$20.89
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.