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 $323.59 Median $323.59 Typical High $389.05 | Facility | None | $323.59 | $323.59 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $323.59 | Professional | None | $169.82 | $323.59 | $323.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $323.59 | Facility | None | $234.42 | $234.42 | $323.59 |
BCBS Arkansas Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $288.40 | Professional | None | $194.98 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $524.81 | Facility | None | $165.96 | $269.15 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $323.59 | Professional | None | $95.50 | $147.91 | $323.59 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Facility | None | $186.21 | $186.21 | $208.93 |
United Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $281.84 | Professional | None | $87.10 | $141.25 | $281.84 |
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 $85.11 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $85.11 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $33.88 | $64.57 | $64.57 |
Where Arkansas sits
The same service costs 5.1 times more in California than in Delaware. 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· 22nd of 51
$234
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.