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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $83.18 Typical High $83.18 | Professional | None | $52.48 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $102.33 | Professional | None | $66.07 | $66.07 | $102.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $102.33 | Facility | None | $74.13 | $74.13 | $102.33 |
BCBS Arkansas Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $81.28 | Professional | None | $56.23 | $81.28 | $81.28 |
CareSource Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $66.07 | Professional | None | $42.66 | $42.66 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $125.89 | Facility | None | $52.48 | $85.11 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $97.72 | Professional | None | $30.20 | $34.67 | $97.72 |
Qualchoice Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $117.49 | Professional | None | $75.86 | $75.86 | $117.49 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $66.07 | Facility | None | $58.88 | $58.88 | $66.07 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $67.61 | Professional | None | $27.54 | $39.81 | $67.61 |
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 $25.70 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $25.70 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $10.47 | $16.60 | $16.60 |
Where Arkansas sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 17th of 51
$74.13
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.