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 $467.74 Median $467.74 Typical High $575.44 | Facility | None | $467.74 | $467.74 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $467.74 | Professional | None | $302.00 | $467.74 | $467.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Facility | None | $426.58 | $426.58 | $575.44 |
BCBS Arkansas Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $562.34 | Professional | None | $338.84 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $562.34 Typical High $707.95 | Facility | None | $295.12 | $562.34 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $524.81 | Professional | None | $169.82 | $194.98 | $524.81 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $371.54 | Facility | None | $338.84 | $338.84 | $371.54 |
United Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $380.19 | Professional | None | $158.49 | $223.87 | $380.19 |
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 $151.36 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $151.36 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $60.26 | $95.50 | $95.50 |
Where Arkansas sits
The same service costs 4.9 times more in Alaska 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· 13th of 51
$427
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.