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 $39.81 Median $39.81 Typical High $47.86 | Facility | None | $39.81 | $39.81 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $39.81 Typical High $39.81 | Professional | None | $19.95 | $39.81 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $52.48 | Professional | None | $21.88 | $25.70 | $52.48 |
BCBS Arkansas Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $39.81 | Facility | None | $28.84 | $28.84 | $39.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $42.66 | Professional | None | $28.84 | $42.66 | $42.66 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $25.70 | Professional | None | $16.60 | $16.60 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $64.57 | Facility | None | $21.38 | $31.62 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $18.20 Typical High $36.31 | Professional | None | $11.75 | $18.20 | $36.31 |
Qualchoice Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $60.26 | Professional | None | $25.12 | $29.51 | $60.26 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $25.70 | Facility | None | $22.91 | $22.91 | $25.70 |
United Setting Professional Modifier None Typical Low $10.72 Median $20.89 Typical High $42.66 | Professional | None | $10.72 | $20.89 | $42.66 |
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 $10.00 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $10.00 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $3.98 | $7.94 | $7.94 |
Where Arkansas sits
The same service costs 4.3 times more in South Carolina 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· 19th of 51
$28.84
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.