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 $89.13 Median $1,000.00 Typical High $2,041.74 | Facility | None | $89.13 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $138.04 | Professional | None | $89.13 | $112.20 | $138.04 |
BCBS Arkansas Setting Facility Modifier None Typical Low $75.86 Median $707.95 Typical High $977.24 | Facility | None | $75.86 | $707.95 | $977.24 |
BCBS Arkansas Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $162.18 | Professional | None | $83.18 | $109.65 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $63.10 Typical High $426.58 | Facility | None | $57.54 | $63.10 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $190.55 | Professional | None | $85.11 | $131.83 | $190.55 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,548.82 | Facility | None | $269.15 | $389.05 | $1,548.82 |
United Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $204.17 | Professional | None | $74.13 | $123.03 | $204.17 |
2 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 $44.67 Median $45.71 Typical High $69.18 | Professional | 52 · Reduced service | $44.67 | $45.71 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.62 Typical High $27.54 | Professional | 53 · Discontinued | $17.78 | $18.62 | $27.54 |
Where Arkansas sits
The same service costs 2.8 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· 21st of 51
$138
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.