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 $812.83 Median $812.83 Typical High $977.24 | Facility | None | $812.83 | $812.83 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $812.83 | Professional | None | $512.86 | $812.83 | $812.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,000.00 | Facility | None | $724.44 | $724.44 | $1,000.00 |
BCBS Arkansas Setting Professional Modifier None Typical Low $549.54 Median $794.33 Typical High $794.33 | Professional | None | $549.54 | $794.33 | $794.33 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $645.65 | Professional | None | $416.87 | $416.87 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $537.03 Typical High $1,202.26 | Facility | None | $245.47 | $537.03 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $954.99 | Professional | None | $147.91 | $147.91 | $954.99 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $645.65 | Facility | None | $575.44 | $575.44 | $645.65 |
United Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $389.05 | Professional | None | $173.78 | $269.15 | $389.05 |
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 $257.04 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $257.04 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $102.33 | $162.18 | $162.18 |
Where Arkansas sits
The same service costs 5.0 times more in Alaska than in North Carolina. 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
$724
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.