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 $45.71 Median $45.71 Typical High $131.83 | Facility | None | $45.71 | $45.71 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
BCBS Arkansas Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Facility | None | $109.65 | $109.65 | $154.88 |
BCBS Arkansas Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $371.54 | Professional | None | $281.84 | $281.84 | $371.54 |
CareSource Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $524.81 | Professional | None | $165.96 | $165.96 | $524.81 |
United Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $398.11 | Facility | None | $173.78 | $218.78 | $398.11 |
United Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $263.03 | Professional | None | $33.11 | $46.77 | $263.03 |
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 $22.91 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Arkansas sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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· 20th of 51
$282
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.