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 $66.07 Median $66.07 Typical High $81.28 | Facility | None | $66.07 | $66.07 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $66.07 | Professional | None | $39.81 | $66.07 | $66.07 |
BCBS Arkansas Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Facility | None | $53.70 | $53.70 | $72.44 |
BCBS Arkansas Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $70.79 | Professional | None | $48.98 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $87.10 Typical High $524.81 | Facility | None | $37.15 | $87.10 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $70.79 | Professional | None | $21.38 | $42.66 | $70.79 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $46.77 | Facility | None | $41.69 | $41.69 | $46.77 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $58.88 | Professional | None | $19.50 | $28.18 | $58.88 |
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 $18.62 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $18.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $7.41 | $13.18 | $13.18 |
Where Arkansas sits
The same service costs 8.3 times more in Texas 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· 16th of 51
$53.70
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.