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 $43.65 Median $43.65 Typical High $50.12 | Facility | None | $43.65 | $43.65 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $43.65 Typical High $43.65 | Professional | None | $21.88 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | None | $23.99 | $23.99 | $28.18 |
BCBS Arkansas Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $43.65 | Facility | None | $31.62 | $31.62 | $43.65 |
BCBS Arkansas Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $38.90 | Professional | None | $26.30 | $38.90 | $38.90 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $28.18 | Professional | None | $18.20 | $18.20 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $34.67 Typical High $70.79 | Facility | None | $23.44 | $34.67 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $39.81 | Professional | None | $12.59 | $19.95 | $39.81 |
Qualchoice Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | None | $27.54 | $27.54 | $32.36 |
United Setting Facility Modifier None Typical Low $25.12 Median $28.18 Typical High $89.13 | Facility | None | $25.12 | $28.18 | $89.13 |
United Setting Professional Modifier None Typical Low $11.75 Median $22.91 Typical High $46.77 | Professional | None | $11.75 | $22.91 | $46.77 |
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 $10.96 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $10.96 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $4.37 | $8.71 | $8.71 |
Where Arkansas sits
The same service costs 7.8 times more in Vermont than in Alabama. 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· 22nd of 51
$31.62
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.