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 $18.62 Median $18.62 Typical High $22.39 | Facility | None | $18.62 | $18.62 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $18.62 Typical High $18.62 | Professional | None | $14.79 | $18.62 | $18.62 |
BCBS Arkansas Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $26.92 | Facility | None | $19.95 | $19.95 | $26.92 |
BCBS Arkansas Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $20.42 | Professional | None | $13.49 | $13.49 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $14.45 Typical High $29.51 | Facility | None | $9.77 | $14.45 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $21.38 | Professional | None | $7.41 | $7.41 | $21.38 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $18.62 | Facility | None | $16.60 | $16.60 | $18.62 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $25.70 | Professional | None | $8.91 | $11.75 | $25.70 |
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 $7.41 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $7.41 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $2.95 | $3.72 | $3.72 |
Where Arkansas sits
The same service costs 5.0 times more in Alaska 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
$18.62
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.