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 $48.98 Median $48.98 Typical High $60.26 | Facility | None | $48.98 | $48.98 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $48.98 | Professional | None | $33.11 | $48.98 | $48.98 |
BCBS Arkansas Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $61.66 | Facility | None | $44.67 | $44.67 | $61.66 |
BCBS Arkansas Setting Professional Modifier None Typical Low $39.81 Median $58.88 Typical High $58.88 | Professional | None | $39.81 | $58.88 | $58.88 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $38.90 | Professional | None | $25.70 | $25.70 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $51.29 Typical High $74.13 | Facility | None | $30.90 | $51.29 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $35.48 Typical High $58.88 | Professional | None | $17.78 | $35.48 | $58.88 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $38.90 | Facility | None | $35.48 | $35.48 | $38.90 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $39.81 | Professional | None | $16.60 | $23.44 | $39.81 |
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 $15.85 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $15.85 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $6.31 | $10.00 | $10.00 |
Where Arkansas sits
The same service costs 6.6 times more in Kansas than in Oklahoma. 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· 18th of 51
$44.67
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.