How much rates vary
Facilitymedian $562 · 10th to 90th $282 to $2,089Professionalmedian $2,344 · 10th to 90th $1,820 to $3,890
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 $2,089.30 Median $2,089.30 Typical High $2,238.72 | Facility | None | $2,089.30 | $2,089.30 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,818.38 | Professional | None | $2,089.30 | $2,089.30 | $2,818.38 |
Ambetter Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,467.37 | Professional | None | $3,311.31 | $3,311.31 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,122.02 | Facility | None | $562.34 | $724.44 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $3,548.13 | Professional | None | $1,819.70 | $2,290.87 | $3,548.13 |
Qualchoice Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,365.16 | Professional | None | $3,801.89 | $3,801.89 | $4,365.16 |
United Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $2,187.76 | Facility | None | $281.84 | $467.74 | $2,187.76 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $4,073.80 | Professional | None | $1,737.80 | $2,137.96 | $4,073.80 |
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 $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | 53 · Discontinued | $416.87 | $416.87 | $436.52 |
Where Arkansas sits
The same service costs 4.3 times more in Alaska than in Arkansas. 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.
Physician feeFacility fee
AK $12,394AR $2,907
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.