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 $263.03 Median $263.03 Typical High $316.23 | Facility | None | $263.03 | $263.03 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $263.03 | Professional | None | $165.96 | $263.03 | $263.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $316.23 | Facility | None | $234.42 | $234.42 | $316.23 |
BCBS Arkansas Setting Professional Modifier None Typical Low $186.21 Median $309.03 Typical High $309.03 | Professional | None | $186.21 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $389.05 | Facility | None | $165.96 | $269.15 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $302.00 | Professional | None | $93.33 | $109.65 | $302.00 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Facility | None | $186.21 | $186.21 | $208.93 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $281.84 | Professional | None | $87.10 | $123.03 | $281.84 |
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 $83.18 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $83.18 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $33.11 | $52.48 | $52.48 |
Where Arkansas sits
The same service costs 4.5 times more in Texas than in Delaware. 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· 11th of 51
$234
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.