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 $112.20 Median $112.20 Typical High $134.90 | Facility | None | $112.20 | $112.20 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $112.20 | Professional | None | $69.18 | $112.20 | $112.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $138.04 | Facility | None | $100.00 | $100.00 | $138.04 |
BCBS Arkansas Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | None | $89.13 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $165.96 | Facility | None | $56.23 | $93.33 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $77.62 Typical High $131.83 | Professional | None | $39.81 | $77.62 | $131.83 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $89.13 | Facility | None | $79.43 | $79.43 | $89.13 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $89.13 | Professional | None | $37.15 | $52.48 | $89.13 |
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 $34.67 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $34.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $13.80 | $22.39 | $22.39 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 10th of 51
$100
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.