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 $389.05 Median $389.05 Typical High $467.74 | Facility | None | $389.05 | $389.05 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $389.05 | Professional | None | $245.47 | $389.05 | $389.05 |
BCBS Arkansas Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $478.63 | Facility | None | $354.81 | $354.81 | $478.63 |
BCBS Arkansas Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $389.05 | Professional | None | $263.03 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $575.44 | Facility | None | $245.47 | $398.11 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $446.68 | Professional | None | $141.25 | $165.96 | $446.68 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $309.03 | Facility | None | $275.42 | $275.42 | $309.03 |
United Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $309.03 | Professional | None | $128.82 | $186.21 | $309.03 |
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 $123.03 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $123.03 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $48.98 | $77.62 | $77.62 |
Where Arkansas sits
The same service costs 4.6 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
$355
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.