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 $12.30 Median $15.85 Typical High $19.05 | Facility | None | $12.30 | $15.85 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $15.85 Typical High $15.85 | Professional | None | $7.94 | $15.85 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $10.23 Typical High $21.38 | Professional | None | $8.71 | $10.23 | $21.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $15.85 | Facility | None | $11.48 | $11.48 | $15.85 |
BCBS Arkansas Setting Professional Modifier None Typical Low $11.48 Median $16.98 Typical High $16.98 | Professional | None | $11.48 | $16.98 | $16.98 |
CareSource Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $10.23 | Professional | None | $6.61 | $6.61 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $12.59 Typical High $25.70 | Facility | None | $8.13 | $12.59 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $7.24 Typical High $14.45 | Professional | None | $4.57 | $7.24 | $14.45 |
Qualchoice Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $24.55 | Professional | None | $10.00 | $11.75 | $24.55 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $10.23 | Facility | None | $9.12 | $9.12 | $10.23 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.17 Typical High $16.98 | Professional | None | $4.27 | $6.17 | $16.98 |
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 $3.98 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $3.98 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $1.62 | $3.16 | $3.16 |
Where Arkansas sits
The same service costs 26.9 times more in Vermont than in Alabama. 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· 22nd of 51
$11.48
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.