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 $60.26 Median $60.26 Typical High $72.44 | Facility | None | $60.26 | $60.26 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $60.26 | Professional | None | $30.20 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $15.14 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $6.03 | $12.02 | $12.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $60.26 | Facility | None | $43.65 | $43.65 | $60.26 |
BCBS Arkansas Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $53.70 | Professional | None | $36.31 | $53.70 | $53.70 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $38.90 | Professional | None | $25.12 | $25.12 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $47.86 Typical High $97.72 | Facility | None | $32.36 | $47.86 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $54.95 | Professional | None | $17.78 | $27.54 | $54.95 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $38.90 | Facility | None | $34.67 | $34.67 | $38.90 |
United Setting Professional Modifier None Typical Low $16.22 Median $31.62 Typical High $64.57 | Professional | None | $16.22 | $31.62 | $64.57 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 90 · Outside lab | $67.61 | $67.61 | $67.61 |
Qualchoice Setting Professional Modifier 90 · Outside lab Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 90 · Outside lab | $77.62 | $77.62 | $77.62 |
Where Arkansas sits
The same service costs 3.6 times more in Alaska 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· 21st of 51
$43.65
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.