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 $4.79 Median $7.08 Typical High $8.71 | Facility | None | $4.79 | $7.08 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $7.08 Typical High $7.08 | Professional | None | $3.80 | $7.08 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
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 $5.25 Median $7.59 Typical High $7.59 | Professional | None | $5.25 | $7.59 | $7.59 |
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 $5.62 Typical High $12.02 | Facility | None | $3.98 | $5.62 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $3.39 Typical High $7.08 | Professional | None | $2.24 | $3.39 | $7.08 |
Qualchoice Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
United Setting Facility Modifier None Typical Low $1.38 Median $4.27 Typical High $10.47 | Facility | None | $1.38 | $4.27 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.88 Typical High $8.71 | Professional | None | $2.00 | $2.88 | $8.71 |
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 $3.55 Typical High $3.55 | Professional | 52 · Reduced service | $1.86 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $0.76 | $1.45 | $1.45 |
Where Arkansas sits
The same service costs 8.7 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· 21st 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.