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 $21.88 Median $21.88 Typical High $26.30 | Facility | None | $21.88 | $21.88 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $21.88 Typical High $21.88 | Professional | None | $13.49 | $21.88 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $26.92 | Professional | None | $14.79 | $17.38 | $26.92 |
BCBS Arkansas Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $26.92 | Facility | None | $19.50 | $19.50 | $26.92 |
BCBS Arkansas Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $25.70 | Professional | None | $17.78 | $25.70 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $17.38 | Professional | None | $11.22 | $11.22 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.85 Typical High $32.36 | Facility | None | $12.02 | $15.85 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $9.12 Typical High $24.55 | Professional | None | $7.94 | $9.12 | $24.55 |
Qualchoice Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $30.90 | Professional | None | $16.98 | $19.95 | $30.90 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $17.38 | Facility | None | $15.49 | $15.49 | $17.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $21.88 | Professional | None | $7.24 | $10.47 | $21.88 |
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 $6.61 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $6.61 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $2.63 | $4.37 | $4.37 |
Where Arkansas sits
The same service costs 20.4 times more in Vermont than in Kentucky. 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· 20th of 51
$19.50
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.