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 $30.20 Typical High $30.20 | Facility | None | $22.39 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $30.20 | Professional | None | $20.42 | $30.20 | $30.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $37.15 | Facility | None | $27.54 | $27.54 | $37.15 |
BCBS Arkansas Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $32.36 | Professional | None | $21.88 | $21.88 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $19.05 Typical High $44.67 | Facility | None | $9.77 | $19.05 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $29.51 | Professional | None | $7.41 | $7.41 | $29.51 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $23.99 | Facility | None | $21.88 | $21.88 | $23.99 |
United Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $23.99 | Professional | None | $8.71 | $14.45 | $23.99 |
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 $10.23 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $10.23 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $4.07 | $6.03 | $6.03 |
Where Arkansas sits
The same service costs 8.9 times more in Texas 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· 23rd of 51
$27.54
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.