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 $8.91 Median $8.91 Typical High $10.72 | Facility | None | $8.91 | $8.91 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $8.91 Typical High $8.91 | Professional | None | $4.47 | $8.91 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.62 | Professional | None | $4.79 | $4.79 | $5.62 |
BCBS Arkansas Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $8.91 | Facility | None | $6.46 | $6.46 | $8.91 |
BCBS Arkansas Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $9.33 | Professional | None | $6.46 | $9.33 | $9.33 |
CareSource Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $5.62 | Professional | None | $3.72 | $3.72 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $7.08 Typical High $15.14 | Facility | None | $4.79 | $7.08 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $8.32 | Professional | None | $2.51 | $4.07 | $8.32 |
Qualchoice Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.46 | Professional | None | $5.50 | $5.50 | $6.46 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.62 | Facility | None | $5.13 | $5.13 | $5.62 |
United Setting Professional Modifier None Typical Low $2.40 Median $4.68 Typical High $9.55 | Professional | None | $2.40 | $4.68 | $9.55 |
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 $2.24 Median $4.37 Typical High $4.37 | Professional | 52 · Reduced service | $2.24 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.78 Typical High $1.78 | Professional | 53 · Discontinued | $0.89 | $1.78 | $1.78 |
Where Arkansas sits
The same service costs 13.5 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· 23rd of 51
$6.46
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.