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 $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $102.33 Typical High $102.33 | Professional | None | $53.70 | $102.33 | $102.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $102.33 | Facility | None | $74.13 | $74.13 | $102.33 |
BCBS Arkansas Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $91.20 | Professional | None | $61.66 | $91.20 | $91.20 |
CareSource Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $66.07 | Professional | None | $42.66 | $42.66 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $85.11 Typical High $165.96 | Facility | None | $51.29 | $85.11 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $46.77 Typical High $102.33 | Professional | None | $29.51 | $46.77 | $102.33 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $66.07 | Facility | None | $58.88 | $58.88 | $66.07 |
United Setting Professional Modifier None Typical Low $27.54 Median $44.67 Typical High $89.13 | Professional | None | $27.54 | $44.67 | $89.13 |
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 $26.92 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $26.92 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $10.72 | $20.42 | $20.42 |
Where Arkansas sits
The same service costs 4.8 times more in Kansas than in Illinois. 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· 23rd of 51
$74.13
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.