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 $34.67 Median $34.67 Typical High $41.69 | Facility | None | $34.67 | $34.67 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $34.67 Typical High $34.67 | Professional | None | $21.88 | $34.67 | $34.67 |
BCBS Arkansas Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $42.66 | Facility | None | $30.90 | $30.90 | $42.66 |
BCBS Arkansas Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $37.15 | Professional | None | $24.55 | $24.55 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $24.55 Typical High $53.70 | Facility | None | $18.62 | $24.55 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $38.90 | Professional | None | $12.30 | $14.13 | $38.90 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $27.54 | Facility | None | $24.55 | $24.55 | $27.54 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $33.88 | Professional | None | $11.48 | $16.22 | $33.88 |
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 $10.96 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $10.96 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $4.37 | $6.92 | $6.92 |
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· 17th of 51
$30.90
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.