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 $3.72 Median $3.72 Typical High $4.47 | Facility | None | $3.72 | $3.72 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $3.72 Typical High $3.72 | Professional | None | $1.86 | $3.72 | $3.72 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $4.90 | Professional | None | $2.34 | $2.34 | $4.90 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $3.72 | Facility | None | $2.69 | $2.69 | $3.72 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2.69 Median $3.98 Typical High $3.98 | Professional | None | $2.69 | $3.98 | $3.98 |
CareSource Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $2.34 | Professional | None | $1.55 | $1.55 | $2.34 |
Cigna Setting Facility Modifier None Typical Low $2.00 Median $2.95 Typical High $6.61 | Facility | None | $2.00 | $2.95 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $1.05 Median $1.70 Typical High $3.09 | Professional | None | $1.05 | $1.70 | $3.09 |
Qualchoice Setting Professional Modifier None Typical Low $2.75 Median $4.79 Typical High $5.62 | Professional | None | $2.75 | $4.79 | $5.62 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.34 Typical High $7.59 | Facility | None | $2.14 | $2.34 | $7.59 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $3.98 | Professional | None | $1.41 | $2.34 | $3.98 |
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 $0.93 Median $1.86 Typical High $1.86 | Professional | 52 · Reduced service | $0.93 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.74 Typical High $0.74 | Professional | 53 · Discontinued | $0.37 | $0.74 | $0.74 |
Where Arkansas sits
The same service costs 17.0 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
$2.75
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.