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 $5.01 Median $7.76 Typical High $8.91 | Facility | None | $5.01 | $7.76 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $7.76 Typical High $7.76 | Professional | None | $3.98 | $7.76 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $10.47 | Professional | None | $5.01 | $5.01 | $10.47 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $7.76 | Facility | None | $5.75 | $5.75 | $7.76 |
BCBS Arkansas Setting Professional Modifier None Typical Low $5.62 Median $8.32 Typical High $8.32 | Professional | None | $5.62 | $8.32 | $8.32 |
CareSource Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $5.01 | Professional | None | $3.24 | $3.24 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $6.17 Typical High $12.59 | Facility | None | $4.27 | $6.17 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $3.55 Typical High $7.24 | Professional | None | $2.24 | $3.55 | $7.24 |
Qualchoice Setting Professional Modifier None Typical Low $5.75 Median $10.23 Typical High $12.02 | Professional | None | $5.75 | $10.23 | $12.02 |
United Setting Facility Modifier None Typical Low $1.58 Median $4.47 Typical High $5.01 | Facility | None | $1.58 | $4.47 | $5.01 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $8.51 | Professional | None | $2.09 | $3.02 | $8.51 |
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 $2.00 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $2.00 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $0.79 | $1.55 | $1.55 |
Where Arkansas sits
The same service costs 8.9 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
$5.75
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.