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 $79.43 Median $79.43 Typical High $97.72 | Facility | None | $79.43 | $79.43 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $117.49 | Professional | None | $56.23 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
BCBS Arkansas Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Facility | None | $120.23 | $120.23 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $346.74 | Facility | None | $97.72 | $154.88 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $144.54 | Professional | None | $63.10 | $83.18 | $144.54 |
United Setting Facility Modifier None Typical Low $177.83 Median $218.78 Typical High $398.11 | Facility | None | $177.83 | $218.78 | $398.11 |
United Setting Professional Modifier None Typical Low $50.12 Median $89.13 Typical High $162.18 | Professional | None | $50.12 | $89.13 | $162.18 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | 59 · Distinct service | $134.90 | $134.90 | $144.54 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | 59 · Distinct service | $154.88 | $154.88 | $165.96 |
Where Arkansas sits
The same service costs 4.5 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· 23rd of 51
$120
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.