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 $758.58 Median $758.58 Typical High $912.01 | Facility | None | $758.58 | $758.58 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $758.58 | Professional | None | $478.63 | $758.58 | $758.58 |
BCBS Arkansas Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $933.25 | Facility | None | $676.08 | $676.08 | $933.25 |
BCBS Arkansas Setting Professional Modifier None Typical Low $537.03 Median $891.25 Typical High $891.25 | Professional | None | $537.03 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $891.25 Typical High $1,122.02 | Facility | None | $478.63 | $891.25 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $851.14 | Professional | None | $275.42 | $309.03 | $851.14 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $602.56 | Facility | None | $537.03 | $537.03 | $602.56 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $602.56 | Professional | None | $251.19 | $363.08 | $602.56 |
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 $239.88 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $239.88 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $95.50 | $151.36 | $151.36 |
Where Arkansas sits
The same service costs 3.7 times more in Alaska 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· 12th of 51
$676
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.