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 $15.14 Median $15.14 Typical High $100.00 | Facility | None | $15.14 | $15.14 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $19.50 | Facility | None | $14.45 | $14.45 | $19.50 |
BCBS Arkansas Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $22.91 | Professional | None | $15.49 | $17.78 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $87.10 Typical High $128.82 | Professional | None | $16.98 | $87.10 | $128.82 |
United Setting Professional Modifier None Typical Low $14.79 Median $64.57 Typical High $114.82 | Professional | None | $14.79 | $64.57 | $114.82 |
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 $7.59 Median $7.59 Typical High $9.12 | Professional | 52 · Reduced service | $7.59 | $7.59 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.63 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.63 |
Where Arkansas sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 49th of 51
$19.50
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.