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 $8.13 Median $8.13 Typical High $9.77 | Facility | None | $8.13 | $8.13 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $8.13 Typical High $8.13 | Professional | None | $4.07 | $8.13 | $8.13 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $8.13 | Facility | None | $5.89 | $5.89 | $8.13 |
BCBS Arkansas Setting Professional Modifier None Typical Low $5.89 Median $8.71 Typical High $8.71 | Professional | None | $5.89 | $8.71 | $8.71 |
CareSource Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $5.13 | Professional | None | $3.39 | $3.39 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $6.46 Typical High $13.80 | Facility | None | $4.37 | $6.46 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $3.72 Typical High $7.24 | Professional | None | $2.40 | $3.72 | $7.24 |
Qualchoice Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $5.13 | Facility | None | $4.68 | $4.68 | $5.13 |
United Setting Professional Modifier None Typical Low $3.09 Median $5.13 Typical High $10.00 | Professional | None | $3.09 | $5.13 | $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 $2.04 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $2.04 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $0.81 | $1.62 | $1.62 |
Where Arkansas sits
The same service costs 12.6 times more in Minnesota than in Washington, DC. 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
$5.89
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.