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 $151.36 Median $151.36 Typical High $181.97 | Facility | None | $151.36 | $151.36 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $151.36 | Professional | None | $102.33 | $151.36 | $151.36 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $186.21 | Facility | None | $138.04 | $138.04 | $186.21 |
BCBS Arkansas Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $181.97 | Professional | None | $123.03 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $125.89 Typical High $223.87 | Facility | None | $75.86 | $125.89 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $181.97 | Professional | None | $54.95 | $109.65 | $181.97 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Facility | None | $107.15 | $107.15 | $120.23 |
United Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $120.23 | Professional | None | $50.12 | $72.44 | $120.23 |
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 $51.29 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $51.29 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $20.42 | $30.20 | $30.20 |
Where Arkansas sits
The same service costs 5.9 times more in Texas 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· 9th of 51
$138
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.