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 $213.80 Median $213.80 Typical High $257.04 | Facility | None | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $213.80 | Professional | None | $134.90 | $213.80 | $213.80 |
BCBS Arkansas Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $263.03 | Facility | None | $194.98 | $194.98 | $263.03 |
BCBS Arkansas Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $213.80 | Professional | None | $144.54 | $213.80 | $213.80 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $169.82 | Professional | None | $109.65 | $109.65 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $218.78 Typical High $316.23 | Facility | None | $109.65 | $218.78 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $251.19 | Professional | None | $67.61 | $67.61 | $251.19 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $169.82 | Facility | None | $151.36 | $151.36 | $169.82 |
United Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $154.88 | Professional | None | $67.61 | $77.62 | $154.88 |
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 $67.61 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $67.61 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $26.92 | $42.66 | $42.66 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 11th of 51
$195
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.