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 $245.47 Median $245.47 Typical High $295.12 | Facility | None | $245.47 | $245.47 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $245.47 Typical High $245.47 | Professional | None | $151.36 | $245.47 | $245.47 |
BCBS Arkansas Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $302.00 | Facility | None | $218.78 | $218.78 | $302.00 |
BCBS Arkansas Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $239.88 | Professional | None | $165.96 | $239.88 | $239.88 |
CareSource Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $194.98 | Professional | None | $125.89 | $125.89 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $363.08 | Facility | None | $154.88 | $251.19 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $288.40 | Professional | None | $87.10 | $102.33 | $288.40 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $194.98 | Facility | None | $173.78 | $173.78 | $194.98 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $199.53 | Professional | None | $81.28 | $114.82 | $199.53 |
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 $75.86 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $75.86 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $30.20 | $48.98 | $48.98 |
Where Arkansas sits
The same service costs 3.4 times more in Alaska 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· 14th of 51
$219
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.