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 $257.04 Median $257.04 Typical High $309.03 | Facility | None | $257.04 | $257.04 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $257.04 Typical High $257.04 | Professional | None | $128.82 | $257.04 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
BCBS Arkansas Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $257.04 | Facility | None | $186.21 | $186.21 | $257.04 |
BCBS Arkansas Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $229.09 | Professional | None | $154.88 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $213.80 Typical High $416.87 | Facility | None | $128.82 | $213.80 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $117.49 Typical High $257.04 | Professional | None | $74.13 | $117.49 | $257.04 |
Qualchoice Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $162.18 | Facility | None | $147.91 | $147.91 | $162.18 |
United Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $223.87 | Professional | None | $69.18 | $112.20 | $223.87 |
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 $66.07 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $66.07 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $26.30 | $51.29 | $51.29 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 16th of 51
$186
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.