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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $38.90 Typical High $38.90 | Professional | None | $21.88 | $38.90 | $38.90 |
BCBS Arkansas Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $42.66 | Facility | None | $30.90 | $30.90 | $42.66 |
BCBS Arkansas Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $41.69 | Professional | None | $28.18 | $28.18 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Qualchoice Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
United Setting Facility Modifier None Typical Low $21.88 Median $23.99 Typical High $23.99 | Facility | None | $21.88 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $12.88 Median $19.95 Typical High $29.51 | Professional | None | $12.88 | $19.95 | $29.51 |
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 $10.00 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $10.00 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $4.07 | $7.76 | $7.76 |
Where Arkansas sits
The same service costs 5.2 times more in Texas 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· 18th of 51
$30.90
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.