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 $22.39 Median $63.10 Typical High $63.10 | Facility | None | $22.39 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $63.10 Typical High $63.10 | Professional | None | $33.88 | $63.10 | $63.10 |
BCBS Arkansas Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $79.43 | Facility | None | $57.54 | $57.54 | $79.43 |
BCBS Arkansas Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $67.61 | Professional | None | $45.71 | $45.71 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $25.70 Typical High $93.33 | Facility | None | $10.72 | $25.70 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $61.66 | Professional | None | $7.94 | $7.94 | $61.66 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $50.12 | Facility | None | $45.71 | $45.71 | $50.12 |
United Setting Professional Modifier None Typical Low $8.91 Median $30.20 Typical High $50.12 | Professional | None | $8.91 | $30.20 | $50.12 |
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 $16.98 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $16.98 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $6.76 | $12.88 | $12.88 |
Where Arkansas sits
The same service costs 10.2 times more in Alaska than in Kentucky. 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· 16th of 51
$57.54
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.