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 $19.95 Median $19.95 Typical High $24.55 | Facility | None | $19.95 | $19.95 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $19.95 Typical High $19.95 | Professional | None | $10.23 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $5.13 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $2.04 | $3.98 | $3.98 |
BCBS Arkansas Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $19.95 | Facility | None | $14.79 | $14.79 | $19.95 |
BCBS Arkansas Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $21.38 | Professional | None | $14.79 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $15.85 Typical High $32.36 | Facility | None | $10.96 | $15.85 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $18.62 | Professional | None | $5.75 | $9.12 | $18.62 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $12.88 | Facility | None | $11.48 | $11.48 | $12.88 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.76 Typical High $21.88 | Professional | None | $5.25 | $7.76 | $21.88 |
1 more rate 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 $26.92 Median $26.92 Typical High $26.92 | Professional | 90 · Outside lab | $26.92 | $26.92 | $26.92 |
Where Arkansas sits
The same service costs 3.0 times more in Alaska than in New York. 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· 14th of 51
$14.79
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.