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 $54.95 Median $54.95 Typical High $66.07 | Professional | None | $54.95 | $54.95 | $66.07 |
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 $54.95 Median $81.28 Typical High $81.28 | Professional | None | $54.95 | $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 $50.12 Median $85.11 Typical High $123.03 | Facility | None | $50.12 | $85.11 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $97.72 | Professional | None | $29.51 | $30.90 | $97.72 |
Qualchoice Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | None | $64.57 | $64.57 | $75.86 |
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 $35.48 Typical High $66.07 | Professional | None | $27.54 | $35.48 | $66.07 |
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 $26.30 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $26.30 | $40.74 | $40.74 |
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· 25th of 51
$66.07
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.