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 $537.03 Median $537.03 Typical High $645.65 | Facility | None | $537.03 | $537.03 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $537.03 Typical High $537.03 | Professional | None | $281.84 | $537.03 | $537.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $537.03 | Facility | None | $398.11 | $398.11 | $537.03 |
BCBS Arkansas Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $478.63 | Professional | None | $323.59 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $870.96 | Facility | None | $275.42 | $446.68 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $537.03 | Professional | None | $158.49 | $245.47 | $537.03 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $346.74 | Facility | None | $309.03 | $309.03 | $346.74 |
United Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $467.74 | Professional | None | $144.54 | $234.42 | $467.74 |
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 $141.25 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $141.25 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $56.23 | $107.15 | $107.15 |
Where Arkansas sits
The same service costs 4.6 times more in Texas 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· 17th of 51
$398
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.