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 $26.30 Median $26.30 Typical High $31.62 | Facility | None | $26.30 | $26.30 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $26.30 Typical High $26.30 | Professional | None | $13.18 | $26.30 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
BCBS Arkansas Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $26.30 | Facility | None | $19.05 | $19.05 | $26.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $28.18 | Professional | None | $19.05 | $28.18 | $28.18 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.60 | Professional | None | $10.96 | $10.96 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $42.66 | Facility | None | $14.13 | $20.89 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $23.99 | Professional | None | $7.59 | $12.02 | $23.99 |
Qualchoice Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $33.88 | Professional | None | $16.22 | $19.50 | $33.88 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.60 Typical High $75.86 | Facility | None | $15.14 | $16.60 | $75.86 |
United Setting Professional Modifier None Typical Low $7.08 Median $12.59 Typical High $28.18 | Professional | None | $7.08 | $12.59 | $28.18 |
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 $6.61 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $6.61 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $2.63 | $5.25 | $5.25 |
Where Arkansas sits
The same service costs 7.9 times more in Vermont 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· 20th of 51
$19.05
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.