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 $87.10 Median $147.91 Typical High $147.91 | Facility | None | $87.10 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $147.91 | Professional | None | $102.33 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $162.18 | Facility | None | $117.49 | $117.49 | $162.18 |
BCBS Arkansas Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $109.65 | Professional | None | $74.13 | $85.11 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $346.74 | Facility | None | $91.20 | $138.04 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $199.53 Typical High $288.40 | Professional | None | $91.20 | $199.53 | $288.40 |
Qualchoice Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $302.00 | Facility | None | $134.90 | $165.96 | $302.00 |
United Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $234.42 | Professional | None | $77.62 | $141.25 | $234.42 |
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 $61.66 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $61.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $24.55 | $29.51 | $29.51 |
Where Arkansas sits
The same service costs 5.2 times more in Alaska than in Florida. 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· 47th of 51
$123
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.