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 $12.59 Median $18.62 Typical High $18.62 | Facility | None | $12.59 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $18.62 | Professional | None | $12.59 | $18.62 | $18.62 |
BCBS Arkansas Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $22.91 | Facility | None | $16.60 | $16.60 | $22.91 |
BCBS Arkansas Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $19.95 | Professional | None | $13.18 | $13.18 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $11.48 Typical High $27.54 | Facility | None | $5.62 | $11.48 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $22.39 | Professional | None | $4.27 | $4.27 | $22.39 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $14.79 | Facility | None | $13.18 | $13.18 | $14.79 |
United Setting Professional Modifier None Typical Low $5.01 Median $8.71 Typical High $14.79 | Professional | None | $5.01 | $8.71 | $14.79 |
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 $6.17 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $6.17 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $2.51 | $3.72 | $3.72 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska than in Delaware. 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· 22nd of 51
$16.60
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.