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 $380.19 Median $380.19 Typical High $457.09 | Facility | None | $380.19 | $380.19 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $380.19 Typical High $380.19 | Professional | None | $199.53 | $380.19 | $380.19 |
BCBS Arkansas Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Facility | None | $275.42 | $275.42 | $380.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $338.84 | Professional | None | $229.09 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $467.74 | Facility | None | $190.55 | $309.03 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $363.08 | Professional | None | $134.90 | $169.82 | $363.08 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $239.88 | Facility | None | $218.78 | $218.78 | $239.88 |
United Setting Professional Modifier None Typical Low $102.33 Median $165.96 Typical High $331.13 | Professional | None | $102.33 | $165.96 | $331.13 |
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 $100.00 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $100.00 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $39.81 | $75.86 | $75.86 |
Where Arkansas sits
The same service costs 4.3 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· 18th of 51
$275
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.