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 $15.85 Median $15.85 Typical High $19.05 | Facility | None | $15.85 | $15.85 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $15.85 | Professional | None | $9.77 | $15.85 | $15.85 |
BCBS Arkansas Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $19.05 | Facility | None | $13.80 | $13.80 | $19.05 |
BCBS Arkansas Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.22 | Professional | None | $10.96 | $10.96 | $16.22 |
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 $5.89 Median $7.08 Typical High $19.05 | Professional | None | $5.89 | $7.08 | $19.05 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $12.02 | Facility | None | $10.96 | $10.96 | $12.02 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $19.95 | Professional | None | $7.24 | $12.02 | $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 $4.79 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $4.79 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $1.95 | $3.16 | $3.16 |
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· 26th of 51
$13.80
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.