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 $446.68 Median $446.68 Typical High $549.54 | Facility | None | $446.68 | $446.68 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $446.68 Typical High $446.68 | Professional | None | $275.42 | $446.68 | $446.68 |
BCBS Arkansas Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $549.54 | Facility | None | $398.11 | $398.11 | $549.54 |
BCBS Arkansas Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $436.52 | Professional | None | $295.12 | $436.52 | $436.52 |
CareSource Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $346.74 | Professional | None | $229.09 | $229.09 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $741.31 | Facility | None | $275.42 | $446.68 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $524.81 | Professional | None | $158.49 | $204.17 | $524.81 |
Qualchoice Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
United Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $398.11 | Professional | None | $147.91 | $208.93 | $398.11 |
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 $138.04 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $138.04 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $54.95 | $89.13 | $89.13 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska than in Alabama. 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
$398
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.