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 $269.15 Median $269.15 Typical High $323.59 | Facility | None | $269.15 | $269.15 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $269.15 | Professional | None | $169.82 | $269.15 | $269.15 |
BCBS Arkansas Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $331.13 | Facility | None | $245.47 | $245.47 | $331.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $269.15 | Professional | None | $181.97 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $275.42 Typical High $398.11 | Facility | None | $128.82 | $275.42 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $316.23 | Professional | None | $79.43 | $79.43 | $316.23 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $213.80 | Facility | None | $190.55 | $190.55 | $213.80 |
United Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $181.97 | Professional | None | $85.11 | $91.20 | $181.97 |
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 $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $85.11 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.88 | $53.70 | $53.70 |
Where Arkansas sits
The same service costs 3.7 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· 10th of 51
$245
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.