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 $218.78 Median $218.78 Typical High $269.15 | Facility | None | $218.78 | $218.78 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $218.78 | Professional | None | $141.25 | $218.78 | $218.78 |
BCBS Arkansas Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Facility | None | $199.53 | $199.53 | $275.42 |
BCBS Arkansas Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $218.78 | Professional | None | $147.91 | $218.78 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $173.78 | Professional | None | $114.82 | $114.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $323.59 | Facility | None | $138.04 | $223.87 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $263.03 | Professional | None | $79.43 | $91.20 | $263.03 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Facility | None | $158.49 | $158.49 | $173.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $177.83 | Professional | None | $74.13 | $104.71 | $177.83 |
4 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 $69.18 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $69.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $28.18 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | 59 · Distinct service | $147.91 | $147.91 | $173.78 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | 59 · Distinct service | $169.82 | $169.82 | $199.53 |
Where Arkansas sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$200
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.