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 $77.62 Median $77.62 Typical High $93.33 | Facility | None | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $77.62 Typical High $77.62 | Professional | None | $40.74 | $77.62 | $77.62 |
BCBS Arkansas Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $77.62 | Facility | None | $56.23 | $56.23 | $77.62 |
BCBS Arkansas Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $69.18 | Professional | None | $46.77 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $64.57 Typical High $125.89 | Facility | None | $38.90 | $64.57 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $35.48 Typical High $77.62 | Professional | None | $22.39 | $35.48 | $77.62 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $50.12 | Facility | None | $44.67 | $44.67 | $50.12 |
United Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $67.61 | Professional | None | $20.89 | $33.88 | $67.61 |
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 $20.42 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $20.42 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $8.13 | $15.49 | $15.49 |
Where Arkansas sits
The same service costs 5.8 times more in Texas than in New Mexico. 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· 21st of 51
$56.23
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.