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 $37.15 Median $37.15 Typical High $41.69 | Facility | None | $37.15 | $37.15 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $37.15 Typical High $37.15 | Professional | None | $23.99 | $37.15 | $37.15 |
BCBS Arkansas Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $45.71 | Facility | None | $33.88 | $33.88 | $45.71 |
BCBS Arkansas Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $39.81 | Professional | None | $26.92 | $26.92 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $25.12 Typical High $54.95 | Facility | None | $18.62 | $25.12 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $41.69 | Professional | None | $13.49 | $14.13 | $41.69 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Facility | None | $26.92 | $26.92 | $29.51 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $39.81 | Professional | None | $12.59 | $16.98 | $39.81 |
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 $12.02 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $12.02 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $4.79 | $7.59 | $7.59 |
Where Arkansas sits
The same service costs 5.4 times more in Texas 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· 17th of 51
$33.88
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.