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 $17.78 Median $17.78 Typical High $21.88 | Facility | None | $17.78 | $17.78 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $17.78 Typical High $17.78 | Professional | None | $9.12 | $17.78 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $11.48 | Professional | None | $9.77 | $9.77 | $11.48 |
BCBS Arkansas Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $18.20 | Facility | None | $13.18 | $13.18 | $18.20 |
BCBS Arkansas Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $19.05 | Professional | None | $13.18 | $19.05 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $11.48 | Professional | None | $7.41 | $7.41 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $14.13 Typical High $29.51 | Facility | None | $9.77 | $14.13 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $16.60 | Professional | None | $5.25 | $8.13 | $16.60 |
Qualchoice Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $27.54 | Professional | None | $11.22 | $11.22 | $27.54 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $11.48 | Facility | None | $10.47 | $10.47 | $11.48 |
United Setting Professional Modifier None Typical Low $4.79 Median $9.33 Typical High $19.50 | Professional | None | $4.79 | $9.33 | $19.50 |
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 $4.57 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $4.57 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $1.82 | $3.63 | $3.63 |
Where Arkansas sits
The same service costs 5.2 times more in Minnesota 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· 23rd of 51
$13.18
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.