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 $28.18 Median $28.18 Typical High $33.88 | Facility | None | $28.18 | $28.18 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $28.18 Typical High $28.18 | Professional | None | $14.45 | $28.18 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $38.02 | Professional | None | $18.20 | $18.20 | $38.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $28.18 | Facility | None | $20.89 | $20.89 | $28.18 |
BCBS Arkansas Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $30.20 | Professional | None | $20.42 | $30.20 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $18.20 | Professional | None | $11.75 | $11.75 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $22.39 Typical High $45.71 | Facility | None | $15.49 | $22.39 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $12.88 Typical High $25.70 | Professional | None | $8.13 | $12.88 | $25.70 |
Qualchoice Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $43.65 | Professional | None | $20.89 | $20.89 | $43.65 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $18.20 | Facility | None | $16.22 | $16.22 | $18.20 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $30.20 | Professional | None | $7.24 | $10.96 | $30.20 |
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 $7.24 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $7.24 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $2.88 | $5.62 | $5.62 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska 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· 19th of 51
$20.89
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.