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 $257.04 Median $257.04 Typical High $309.03 | Facility | None | $257.04 | $257.04 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $257.04 | Professional | None | $162.18 | $257.04 | $257.04 |
BCBS Arkansas Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Facility | None | $229.09 | $229.09 | $316.23 |
BCBS Arkansas Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $251.19 | Professional | None | $173.78 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $380.19 | Facility | None | $162.18 | $263.03 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $302.00 | Professional | None | $91.20 | $100.00 | $302.00 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $204.17 | Facility | None | $181.97 | $181.97 | $204.17 |
United Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $204.17 | Professional | None | $85.11 | $114.82 | $204.17 |
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 $81.28 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $81.28 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $32.36 | $51.29 | $51.29 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska 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· 13th of 51
$229
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.