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 $354.81 Median $354.81 Typical High $426.58 | Facility | None | $354.81 | $354.81 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $354.81 | Professional | None | $223.87 | $354.81 | $354.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Facility | None | $316.23 | $316.23 | $436.52 |
BCBS Arkansas Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $426.58 | Professional | None | $257.04 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $524.81 | Facility | None | $223.87 | $426.58 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $398.11 | Professional | None | $128.82 | $144.54 | $398.11 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $281.84 | Facility | None | $257.04 | $257.04 | $281.84 |
United Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $281.84 | Professional | None | $117.49 | $169.82 | $281.84 |
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 $112.20 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $112.20 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $45.71 | $70.79 | $70.79 |
Where Arkansas sits
The same service costs 3.7 times more in Alaska 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· 14th of 51
$316
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.