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 $6.92 Median $6.92 Typical High $8.32 | Facility | None | $6.92 | $6.92 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $6.92 Typical High $6.92 | Professional | None | $3.47 | $6.92 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $3.72 Median $4.37 Typical High $7.76 | Professional | None | $3.72 | $4.37 | $7.76 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $6.92 | Facility | None | $5.01 | $5.01 | $6.92 |
BCBS Arkansas Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $7.41 | Professional | None | $5.01 | $7.41 | $7.41 |
CareSource Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $4.37 | Professional | None | $2.88 | $2.88 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $5.37 Typical High $11.22 | Facility | None | $3.72 | $5.37 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $3.16 Typical High $6.76 | Professional | None | $1.95 | $3.16 | $6.76 |
Qualchoice Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $10.47 | Professional | None | $4.27 | $5.01 | $10.47 |
United Setting Facility Modifier None Typical Low $3.98 Median $4.37 Typical High $15.14 | Facility | None | $3.98 | $4.37 | $15.14 |
United Setting Professional Modifier None Typical Low $1.86 Median $3.16 Typical High $7.41 | Professional | None | $1.86 | $3.16 | $7.41 |
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 $1.74 Median $3.47 Typical High $3.47 | Professional | 52 · Reduced service | $1.74 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $1.38 Typical High $1.38 | Professional | 53 · Discontinued | $0.71 | $1.38 | $1.38 |
Where Arkansas sits
The same service costs 4.2 times more in Kansas 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
$5.01
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.