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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $316.23 | Professional | None | $162.18 | $316.23 | $316.23 |
BCBS Arkansas Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Facility | None | $229.09 | $229.09 | $316.23 |
BCBS Arkansas Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $281.84 | Professional | None | $190.55 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $512.86 | Facility | None | $158.49 | $257.04 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $141.25 Typical High $316.23 | Professional | None | $91.20 | $141.25 | $316.23 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $199.53 | Facility | None | $181.97 | $181.97 | $199.53 |
United Setting Professional Modifier None Typical Low $85.11 Median $138.04 Typical High $275.42 | Professional | None | $85.11 | $138.04 | $275.42 |
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 $81.28 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $81.28 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $32.36 | $63.10 | $63.10 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 15th of 51
$229
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.