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 $4.57 Median $5.37 Typical High $7.24 | Facility | None | $4.57 | $5.37 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $5.37 Typical High $5.37 | Professional | None | $3.02 | $5.37 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $7.08 | Professional | None | $3.80 | $3.80 | $7.08 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $5.89 | Facility | None | $4.37 | $4.37 | $5.89 |
BCBS Arkansas Setting Professional Modifier None Typical Low $3.89 Median $5.75 Typical High $5.75 | Professional | None | $3.89 | $5.75 | $5.75 |
CareSource Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.80 | Professional | None | $2.45 | $2.45 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $4.27 Typical High $9.33 | Facility | None | $3.16 | $4.27 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $2.40 Typical High $5.62 | Professional | None | $1.78 | $2.40 | $5.62 |
Qualchoice Setting Professional Modifier None Typical Low $3.72 Median $4.37 Typical High $8.32 | Professional | None | $3.72 | $4.37 | $8.32 |
United Setting Facility Modifier None Typical Low $3.39 Median $3.80 Typical High $7.59 | Facility | None | $3.39 | $3.80 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.29 Typical High $5.75 | Professional | None | $1.58 | $2.29 | $5.75 |
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 $1.51 Median $2.69 Typical High $2.69 | Professional | 52 · Reduced service | $1.51 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $0.60 | $1.07 | $1.07 |
Where Arkansas sits
The same service costs 11.7 times more in Minnesota 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· 18th of 51
$4.37
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.