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 $14.79 Median $14.79 Typical High $17.78 | Facility | None | $14.79 | $14.79 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $14.79 | Professional | None | $8.32 | $14.79 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $10.47 Typical High $19.95 | Professional | None | $8.91 | $10.47 | $19.95 |
BCBS Arkansas Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $16.22 | Facility | None | $12.02 | $12.02 | $16.22 |
BCBS Arkansas Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $15.85 | Professional | None | $10.72 | $15.85 | $15.85 |
CareSource Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $10.47 | Professional | None | $6.76 | $6.76 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $11.75 Typical High $25.70 | Facility | None | $8.71 | $11.75 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $14.79 | Professional | None | $4.79 | $6.76 | $14.79 |
Qualchoice Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $22.91 | Professional | None | $10.23 | $12.02 | $22.91 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $10.47 | Facility | None | $9.33 | $9.33 | $10.47 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.31 Typical High $15.85 | Professional | None | $4.17 | $6.31 | $15.85 |
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 $4.17 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $4.17 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $1.66 | $2.95 | $2.95 |
Where Arkansas sits
The same service costs 5.6 times more in Minnesota than in New Jersey. 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· 16th of 51
$12.02
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.