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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $81.28 | Professional | None | $54.95 | $81.28 | $81.28 |
BCBS Arkansas Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Facility | None | $72.44 | $72.44 | $100.00 |
BCBS Arkansas Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | None | $64.57 | $95.50 | $95.50 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $64.57 | Professional | None | $41.69 | $41.69 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $83.18 Typical High $120.23 | Facility | None | $51.29 | $83.18 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $56.23 Typical High $95.50 | Professional | None | $28.84 | $56.23 | $95.50 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $64.57 | Facility | None | $57.54 | $57.54 | $64.57 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $64.57 | Professional | None | $26.92 | $38.02 | $64.57 |
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 $26.92 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $26.92 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $10.96 | $16.22 | $16.22 |
Where Arkansas sits
The same service costs 3.4 times more in Alaska 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· 11th of 51
$72.44
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.