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 $26.30 Median $26.30 Typical High $32.36 | Facility | None | $26.30 | $26.30 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $26.30 Typical High $26.30 | Professional | None | $13.49 | $26.30 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | None | $14.45 | $14.45 | $16.98 |
BCBS Arkansas Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $26.30 | Facility | None | $19.50 | $19.50 | $26.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $28.18 | Professional | None | $19.50 | $28.18 | $28.18 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.98 | Professional | None | $10.96 | $10.96 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $20.89 Typical High $43.65 | Facility | None | $14.45 | $20.89 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $24.55 | Professional | None | $7.76 | $12.02 | $24.55 |
Qualchoice Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $40.74 | Professional | None | $16.60 | $19.50 | $40.74 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $16.98 | Facility | None | $15.49 | $15.49 | $16.98 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.23 Typical High $28.84 | Professional | None | $6.76 | $10.23 | $28.84 |
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 $6.76 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $6.76 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $2.69 | $5.25 | $5.25 |
Where Arkansas sits
The same service costs 8.1 times more in Vermont than in Indiana. 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· 20th of 51
$19.50
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.