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 $11.75 Median $11.75 Typical High $15.85 | Facility | None | $11.75 | $11.75 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $11.75 Typical High $11.75 | Professional | None | $5.89 | $11.75 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $11.75 | Facility | None | $8.51 | $8.51 | $11.75 |
BCBS Arkansas Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $12.59 | Professional | None | $8.51 | $12.59 | $12.59 |
CareSource Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $7.59 | Professional | None | $4.90 | $4.90 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $9.33 Typical High $19.95 | Facility | None | $6.31 | $9.33 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $5.37 Typical High $10.96 | Professional | None | $3.47 | $5.37 | $10.96 |
Qualchoice Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
United Setting Facility Modifier None Typical Low $2.45 Median $6.76 Typical High $7.59 | Facility | None | $2.45 | $6.76 | $7.59 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $12.59 | Professional | None | $3.16 | $4.47 | $12.59 |
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 $2.95 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $2.95 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $1.20 | $2.34 | $2.34 |
Where Arkansas sits
The same service costs 21.4 times more in Vermont 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· 25th of 51
$8.51
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.