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 $630.96 Median $630.96 Typical High $758.58 | Facility | None | $630.96 | $630.96 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $630.96 Typical High $630.96 | Professional | None | $331.13 | $630.96 | $630.96 |
BCBS Arkansas Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Facility | None | $457.09 | $457.09 | $630.96 |
BCBS Arkansas Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $562.34 | Professional | None | $380.19 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $1,023.29 | Facility | None | $316.23 | $512.86 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $630.96 | Professional | None | $181.97 | $281.84 | $630.96 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $398.11 | Facility | None | $363.08 | $363.08 | $398.11 |
United Setting Professional Modifier None Typical Low $169.82 Median $275.42 Typical High $549.54 | Professional | None | $169.82 | $275.42 | $549.54 |
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 $165.96 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $165.96 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $66.07 | $125.89 | $125.89 |
Where Arkansas sits
The same service costs 3.8 times more in Texas 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· 18th of 51
$457
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.