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 $13.49 Median $13.49 Typical High $16.60 | Facility | None | $13.49 | $13.49 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $13.49 Typical High $13.49 | Professional | None | $6.92 | $13.49 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $18.20 | Professional | None | $7.41 | $8.71 | $18.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $13.80 | Facility | None | $10.00 | $10.00 | $13.80 |
BCBS Arkansas Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $14.45 | Professional | None | $10.00 | $14.45 | $14.45 |
CareSource Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $8.71 | Professional | None | $5.62 | $5.62 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $10.72 Typical High $21.88 | Facility | None | $7.41 | $10.72 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $6.17 Typical High $12.30 | Professional | None | $4.07 | $6.17 | $12.30 |
Qualchoice Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $20.89 | Professional | None | $8.51 | $10.00 | $20.89 |
United Setting Facility Modifier None Typical Low $2.29 Median $7.94 Typical High $19.50 | Facility | None | $2.29 | $7.94 | $19.50 |
United Setting Professional Modifier None Typical Low $3.47 Median $5.25 Typical High $14.79 | Professional | None | $3.47 | $5.25 | $14.79 |
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 $3.47 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $3.47 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $1.38 | $2.69 | $2.69 |
Where Arkansas sits
The same service costs 7.6 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· 18th of 51
$10.00
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.