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 $302.00 Median $302.00 Typical High $363.08 | Facility | None | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $302.00 Typical High $302.00 | Professional | None | $186.21 | $302.00 | $302.00 |
BCBS Arkansas Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $371.54 | Facility | None | $269.15 | $269.15 | $371.54 |
BCBS Arkansas Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $295.12 | Professional | None | $204.17 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $302.00 Typical High $446.68 | Facility | None | $134.90 | $302.00 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $354.81 | Professional | None | $83.18 | $83.18 | $354.81 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $239.88 | Facility | None | $213.80 | $213.80 | $239.88 |
United Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $194.98 | Professional | None | $95.50 | $100.00 | $194.98 |
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 $93.33 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $93.33 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $38.02 | $60.26 | $60.26 |
Where Arkansas sits
The same service costs 3.8 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· 12th of 51
$269
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.