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 $380.19 Median $380.19 Typical High $457.09 | Facility | None | $380.19 | $380.19 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $380.19 Typical High $380.19 | Professional | None | $239.88 | $380.19 | $380.19 |
BCBS Arkansas Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $467.74 | Facility | None | $346.74 | $346.74 | $467.74 |
BCBS Arkansas Setting Professional Modifier None Typical Low $269.15 Median $457.09 Typical High $457.09 | Professional | None | $269.15 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $562.34 | Facility | None | $239.88 | $446.68 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $426.58 | Professional | None | $138.04 | $154.88 | $426.58 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $302.00 | Facility | None | $269.15 | $269.15 | $302.00 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $302.00 | Professional | None | $125.89 | $181.97 | $302.00 |
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 $120.23 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $120.23 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $47.86 | $75.86 | $75.86 |
Where Arkansas sits
The same service costs 4.7 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· 11th of 51
$347
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.