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 $43.65 Median $43.65 Typical High $53.70 | Facility | None | $43.65 | $43.65 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $43.65 | Professional | None | $28.84 | $43.65 | $43.65 |
BCBS Arkansas Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $53.70 | Facility | None | $39.81 | $39.81 | $53.70 |
BCBS Arkansas Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $43.65 | Professional | None | $29.51 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $64.57 Typical High $134.90 | Facility | None | $27.54 | $64.57 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $30.90 Typical High $52.48 | Professional | None | $15.85 | $30.90 | $52.48 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $34.67 | Facility | None | $31.62 | $31.62 | $34.67 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $35.48 | Professional | None | $14.79 | $20.89 | $35.48 |
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 $14.45 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $14.45 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.75 | $8.91 | $8.91 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska 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· 12th of 51
$39.81
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.