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 $95.50 Median $95.50 Typical High $114.82 | Facility | None | $95.50 | $95.50 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $95.50 | Professional | None | $60.26 | $95.50 | $95.50 |
BCBS Arkansas Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $117.49 | Facility | None | $85.11 | $85.11 | $117.49 |
BCBS Arkansas Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $112.20 | Professional | None | $77.62 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $60.26 Typical High $141.25 | Facility | None | $25.12 | $60.26 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $107.15 | Professional | None | $15.49 | $17.78 | $107.15 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $75.86 | Facility | None | $67.61 | $67.61 | $75.86 |
United Setting Professional Modifier None Typical Low $15.14 Median $31.62 Typical High $45.71 | Professional | None | $15.14 | $31.62 | $45.71 |
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 $30.20 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $30.20 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $12.02 | $19.05 | $19.05 |
Where Arkansas sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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· 10th of 51
$77.62
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.