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 $512.86 Median $512.86 Typical High $616.60 | Facility | None | $512.86 | $512.86 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $512.86 | Professional | None | $323.59 | $512.86 | $512.86 |
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 $346.74 Median $501.19 Typical High $501.19 | Professional | None | $346.74 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $524.81 Typical High $758.58 | Facility | None | $257.04 | $524.81 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $602.56 | Professional | None | $154.88 | $154.88 | $602.56 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $407.38 | Facility | None | $363.08 | $363.08 | $407.38 |
United Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $363.08 | Professional | None | $162.18 | $181.97 | $363.08 |
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 $162.18 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $162.18 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $64.57 | $102.33 | $102.33 |
Where Arkansas sits
The same service costs 5.2 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
$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.