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 $41.69 Median $72.44 Typical High $72.44 | Facility | None | $41.69 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $72.44 | Professional | None | $44.67 | $72.44 | $72.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $91.20 | Facility | None | $66.07 | $66.07 | $91.20 |
BCBS Arkansas Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $77.62 | Professional | None | $52.48 | $52.48 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $45.71 Typical High $107.15 | Facility | None | $18.62 | $45.71 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $75.86 | Professional | None | $13.80 | $14.13 | $75.86 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $57.54 | Facility | None | $52.48 | $52.48 | $57.54 |
United Setting Professional Modifier None Typical Low $16.22 Median $26.30 Typical High $38.02 | Professional | None | $16.22 | $26.30 | $38.02 |
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 $22.39 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $22.39 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $8.91 | $14.45 | $14.45 |
Where Arkansas sits
The same service costs 5.1 times more in Alaska than in Kansas. 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· 18th of 51
$52.48
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.