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 $9.33 Median $9.33 Typical High $12.59 | Facility | None | $9.33 | $9.33 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $9.33 Typical High $9.33 | Professional | None | $4.79 | $9.33 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $12.59 | Professional | None | $6.03 | $6.03 | $12.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $9.33 | Facility | None | $6.92 | $6.92 | $9.33 |
BCBS Arkansas Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $10.00 | Professional | None | $6.76 | $10.00 | $10.00 |
CareSource Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $6.03 | Professional | None | $3.89 | $3.89 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $7.41 Typical High $15.49 | Facility | None | $5.13 | $7.41 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $4.27 Typical High $8.71 | Professional | None | $2.69 | $4.27 | $8.71 |
Qualchoice Setting Professional Modifier None Typical Low $6.92 Median $12.30 Typical High $14.45 | Professional | None | $6.92 | $12.30 | $14.45 |
United Setting Facility Modifier None Typical Low $2.00 Median $5.37 Typical High $15.14 | Facility | None | $2.00 | $5.37 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $10.00 | Professional | None | $2.51 | $3.63 | $10.00 |
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 $2.40 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $2.40 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $0.95 | $1.86 | $1.86 |
Where Arkansas sits
The same service costs 14.5 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· 27th of 51
$6.92
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.