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 $41.69 Median $41.69 Typical High $42.66 | Facility | None | $41.69 | $41.69 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $41.69 Typical High $41.69 | Professional | None | $21.38 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $10.47 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $4.27 | $8.32 | $8.32 |
BCBS Arkansas Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $41.69 | Facility | None | $30.20 | $30.20 | $41.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $44.67 | Professional | None | $30.20 | $44.67 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $26.92 | Professional | None | $17.38 | $17.38 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $33.11 Typical High $70.79 | Facility | None | $22.39 | $33.11 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $38.90 | Professional | None | $12.30 | $19.05 | $38.90 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $26.92 | Facility | None | $23.99 | $23.99 | $26.92 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.60 Typical High $37.15 | Professional | None | $11.22 | $16.60 | $37.15 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 90 · Outside lab | $41.69 | $41.69 | $41.69 |
Qualchoice Setting Professional Modifier 90 · Outside lab Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 90 · Outside lab | $47.86 | $47.86 | $47.86 |
Where Arkansas sits
The same service costs 4.5 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· 16th of 51
$30.20
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.