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 $39.81 Median $43.65 Typical High $67.61 | Facility | None | $39.81 | $43.65 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $63.10 Typical High $91.20 | Professional | None | $35.48 | $63.10 | $91.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $645.65 | Facility | None | $457.09 | $457.09 | $645.65 |
BCBS Arkansas Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $83.18 | Professional | None | $33.88 | $44.67 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $53.70 Typical High $109.65 | Professional | None | $33.11 | $53.70 | $109.65 |
United Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $1,122.02 | Facility | None | $489.78 | $602.56 | $1,122.02 |
United Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $123.03 | Professional | None | $30.20 | $60.26 | $123.03 |
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 $19.05 Median $28.18 Typical High $41.69 | Professional | 52 · Reduced service | $19.05 | $28.18 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $11.22 Typical High $16.60 | Professional | 53 · Discontinued | $7.59 | $11.22 | $16.60 |
Where Arkansas sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 39th of 51
$61.66
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.