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 $234.42 Median $234.42 Typical High $281.84 | Facility | None | $234.42 | $234.42 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $234.42 | Professional | None | $147.91 | $234.42 | $234.42 |
BCBS Arkansas Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $288.40 | Facility | None | $208.93 | $208.93 | $288.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $275.42 | Professional | None | $165.96 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $346.74 | Facility | None | $147.91 | $275.42 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $263.03 | Professional | None | $85.11 | $95.50 | $263.03 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $186.21 | Facility | None | $165.96 | $165.96 | $186.21 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $186.21 | Professional | None | $77.62 | $112.20 | $186.21 |
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 $74.13 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $74.13 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $29.51 | $46.77 | $46.77 |
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· 12th of 51
$209
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.