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 $190.55 Median $190.55 Typical High $229.09 | Facility | None | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $190.55 | Professional | None | $114.82 | $190.55 | $190.55 |
BCBS Arkansas Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $234.42 | Facility | None | $169.82 | $169.82 | $234.42 |
BCBS Arkansas Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $223.87 | Professional | None | $154.88 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $281.84 | Facility | None | $120.23 | $194.98 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $131.83 Typical High $223.87 | Professional | None | $69.18 | $131.83 | $223.87 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $151.36 | Facility | None | $134.90 | $134.90 | $151.36 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $151.36 | Professional | None | $63.10 | $91.20 | $151.36 |
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 $58.88 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $58.88 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $23.99 | $38.02 | $38.02 |
Where Arkansas sits
The same service costs 5.4 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· 15th of 51
$170
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.