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 $19.95 Median $19.95 Typical High $24.55 | Facility | None | $19.95 | $19.95 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $19.95 Typical High $19.95 | Professional | None | $10.23 | $19.95 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.88 | Professional | None | $10.96 | $10.96 | $12.88 |
BCBS Arkansas Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $20.42 | Facility | None | $14.79 | $14.79 | $20.42 |
BCBS Arkansas Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $21.38 | Professional | None | $14.79 | $21.38 | $21.38 |
CareSource Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $12.88 | Professional | None | $8.51 | $8.51 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $15.85 Typical High $32.36 | Facility | None | $10.23 | $15.85 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $18.62 | Professional | None | $6.03 | $9.12 | $18.62 |
Qualchoice Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | None | $12.59 | $12.59 | $14.79 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $12.88 | Facility | None | $11.75 | $11.75 | $12.88 |
United Setting Professional Modifier None Typical Low $5.50 Median $10.47 Typical High $18.20 | Professional | None | $5.50 | $10.47 | $18.20 |
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 $5.13 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $5.13 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $2.04 | $4.07 | $4.07 |
Where Arkansas sits
The same service costs 8.3 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· 21st of 51
$14.79
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.