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 $5.13 Median $6.17 Typical High $8.32 | Facility | None | $5.13 | $6.17 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $6.17 Typical High $6.46 | Professional | None | $3.39 | $6.17 | $6.46 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $8.13 | Professional | None | $4.27 | $4.27 | $8.13 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $6.76 | Facility | None | $4.90 | $4.90 | $6.76 |
BCBS Arkansas Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $6.61 | Professional | None | $4.47 | $6.61 | $6.61 |
CareSource Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $4.27 | Professional | None | $2.82 | $2.82 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $4.79 Typical High $10.47 | Facility | None | $3.63 | $4.79 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.82 Typical High $6.17 | Professional | None | $1.95 | $2.82 | $6.17 |
Qualchoice Setting Professional Modifier None Typical Low $4.90 Median $7.94 Typical High $9.33 | Professional | None | $4.90 | $7.94 | $9.33 |
United Setting Facility Modifier None Typical Low $1.26 Median $3.89 Typical High $10.47 | Facility | None | $1.26 | $3.89 | $10.47 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $6.61 | Professional | None | $2.57 | $4.27 | $6.61 |
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 $1.70 Median $3.09 Typical High $3.09 | Professional | 52 · Reduced service | $1.70 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $1.23 Typical High $1.23 | Professional | 53 · Discontinued | $0.68 | $1.23 | $1.23 |
Where Arkansas sits
The same service costs 14.8 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· 26th of 51
$4.90
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.