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 $630.96 Median $630.96 Typical High $758.58 | Facility | None | $630.96 | $630.96 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $630.96 | Professional | None | $426.58 | $630.96 | $630.96 |
BCBS Arkansas Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $776.25 | Facility | None | $575.44 | $575.44 | $776.25 |
BCBS Arkansas Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $741.31 | Professional | None | $512.86 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $645.65 Typical High $933.25 | Facility | None | $389.05 | $645.65 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $457.09 Typical High $794.33 | Professional | None | $229.09 | $457.09 | $794.33 |
United Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $501.19 | Facility | None | $446.68 | $446.68 | $501.19 |
United Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $501.19 | Professional | None | $208.93 | $302.00 | $501.19 |
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 $213.80 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $213.80 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $85.11 | $125.89 | $125.89 |
Where Arkansas sits
The same service costs 3.8 times more in California than in Oklahoma. 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
$575
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.