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 $72.44 Median $72.44 Typical High $87.10 | Facility | None | $72.44 | $72.44 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $72.44 | Professional | None | $48.98 | $72.44 | $72.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $89.13 | Facility | None | $64.57 | $64.57 | $89.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $85.11 | Professional | None | $57.54 | $85.11 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $57.54 | Professional | None | $37.15 | $37.15 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $95.50 Typical High $158.49 | Facility | None | $45.71 | $95.50 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $50.12 Typical High $85.11 | Professional | None | $25.70 | $50.12 | $85.11 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $57.54 | Facility | None | $51.29 | $51.29 | $57.54 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $57.54 | Professional | None | $23.99 | $33.88 | $57.54 |
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 $23.99 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $23.99 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $9.77 | $14.45 | $14.45 |
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· 16th of 51
$64.57
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.