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 $7.41 Median $7.41 Typical High $8.91 | Facility | None | $7.41 | $7.41 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $7.41 Typical High $7.41 | Professional | None | $3.72 | $7.41 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $9.77 | Professional | None | $4.07 | $4.79 | $9.77 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $7.41 | Facility | None | $5.37 | $5.37 | $7.41 |
BCBS Arkansas Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $7.94 | Professional | None | $5.37 | $7.94 | $7.94 |
CareSource Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $4.79 | Professional | None | $3.09 | $3.09 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $5.89 Typical High $12.02 | Facility | None | $3.98 | $5.89 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $3.39 Typical High $7.24 | Professional | None | $2.24 | $3.39 | $7.24 |
Qualchoice Setting Professional Modifier None Typical Low $4.68 Median $9.12 Typical High $11.48 | Professional | None | $4.68 | $9.12 | $11.48 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.79 | Facility | None | $4.27 | $4.27 | $4.79 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.79 Typical High $7.94 | Professional | None | $2.82 | $4.79 | $7.94 |
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 $1.86 Median $3.72 Typical High $3.72 | Professional | 52 · Reduced service | $1.86 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $1.48 Typical High $1.48 | Professional | 53 · Discontinued | $0.76 | $1.48 | $1.48 |
Where Arkansas sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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· 26th of 51
$5.37
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.