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 $407.38 Median $407.38 Typical High $489.78 | Facility | None | $407.38 | $407.38 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $407.38 Typical High $407.38 | Professional | None | $257.04 | $407.38 | $407.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Facility | None | $363.08 | $363.08 | $501.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $295.12 Median $489.78 Typical High $489.78 | Professional | None | $295.12 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $489.78 Typical High $602.56 | Facility | None | $257.04 | $489.78 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $457.09 | Professional | None | $147.91 | $169.82 | $457.09 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $323.59 | Facility | None | $295.12 | $295.12 | $323.59 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $331.13 | Professional | None | $134.90 | $194.98 | $331.13 |
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 $128.82 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $128.82 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $52.48 | $81.28 | $81.28 |
Where Arkansas sits
The same service costs 4.2 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· 14th of 51
$363
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.