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 $16.60 Median $16.60 Typical High $19.95 | Facility | None | $16.60 | $16.60 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $16.60 Typical High $16.60 | Professional | None | $10.47 | $16.60 | $16.60 |
BCBS Arkansas Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $20.42 | Facility | None | $14.79 | $14.79 | $20.42 |
BCBS Arkansas Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $17.78 | Professional | None | $11.75 | $11.75 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $12.59 Typical High $26.92 | Facility | None | $9.33 | $12.59 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $19.50 | Professional | None | $6.03 | $7.08 | $19.50 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $13.18 | Facility | None | $11.75 | $11.75 | $13.18 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $19.95 | Professional | None | $7.76 | $13.18 | $19.95 |
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 $5.25 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $5.25 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.09 | $3.31 | $3.31 |
Where Arkansas sits
The same service costs 3.2 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· 22nd of 51
$14.79
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.