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 $28.18 Median $28.18 Typical High $31.62 | Facility | None | $28.18 | $28.18 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $28.18 Typical High $28.18 | Professional | None | $15.49 | $28.18 | $28.18 |
BCBS Arkansas Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $28.18 | Facility | None | $20.42 | $20.42 | $28.18 |
BCBS Arkansas Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $26.92 | Professional | None | $17.78 | $17.78 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $18.62 Typical High $39.81 | Facility | None | $14.13 | $18.62 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $29.51 | Professional | None | $10.00 | $10.72 | $29.51 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $17.78 | Facility | None | $16.22 | $16.22 | $17.78 |
United Setting Professional Modifier None Typical Low $10.72 Median $12.59 Typical High $28.18 | Professional | None | $10.72 | $12.59 | $28.18 |
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 $7.76 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $7.76 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $3.09 | $5.62 | $5.62 |
Where Arkansas sits
The same service costs 10.2 times more in Texas than in New Jersey. 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· 31st of 51
$20.42
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.