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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $50.12 Typical High $50.12 | Professional | None | $25.70 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $12.88 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $5.13 | $10.00 | $10.00 |
BCBS Arkansas Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $50.12 | Facility | None | $37.15 | $37.15 | $50.12 |
BCBS Arkansas Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $44.67 | Professional | None | $30.20 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $39.81 Typical High $81.28 | Facility | None | $27.54 | $39.81 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $22.91 Typical High $46.77 | Professional | None | $14.79 | $22.91 | $46.77 |
Qualchoice Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
United Setting Facility Modifier None Typical Low $28.84 Median $32.36 Typical High $97.72 | Facility | None | $28.84 | $32.36 | $97.72 |
United Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $44.67 | Professional | None | $13.49 | $19.50 | $44.67 |
1 more rate 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 $42.66 Median $42.66 Typical High $42.66 | Professional | 90 · Outside lab | $42.66 | $42.66 | $42.66 |
Where Arkansas sits
The same service costs 4.1 times more in Kansas 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· 17th of 51
$37.15
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.