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 $128.82 Median $128.82 Typical High $154.88 | Facility | None | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $128.82 | Professional | None | $85.11 | $128.82 | $128.82 |
BCBS Arkansas Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $154.88 | Facility | None | $114.82 | $114.82 | $154.88 |
BCBS Arkansas Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $151.36 | Professional | None | $102.33 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $138.04 Typical High $229.09 | Facility | None | $79.43 | $138.04 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $91.20 Typical High $151.36 | Professional | None | $45.71 | $91.20 | $151.36 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $100.00 | Facility | None | $91.20 | $91.20 | $100.00 |
United Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $102.33 | Professional | None | $42.66 | $60.26 | $102.33 |
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 $42.66 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $42.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $17.38 | $25.70 | $25.70 |
Where Arkansas sits
The same service costs 4.1 times more in Kentucky than in New Mexico. 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· 17th of 51
$115
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.