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 $66.07 Median $66.07 Typical High $81.28 | Facility | None | $66.07 | $66.07 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $66.07 Typical High $66.07 | Professional | None | $35.48 | $66.07 | $66.07 |
BCBS Arkansas Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $66.07 | Facility | None | $47.86 | $47.86 | $66.07 |
BCBS Arkansas Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | None | $35.48 | $35.48 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $52.48 Typical High $109.65 | Facility | None | $36.31 | $52.48 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $70.79 | Professional | None | $25.12 | $30.20 | $70.79 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $42.66 | Facility | None | $38.90 | $38.90 | $42.66 |
United Setting Professional Modifier None Typical Low $17.78 Median $30.20 Typical High $72.44 | Professional | None | $17.78 | $30.20 | $72.44 |
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 $17.78 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $17.78 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $7.08 | $13.18 | $13.18 |
Where Arkansas sits
The same service costs 3.3 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· 24th of 51
$47.86
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.