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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $20.42 Typical High $20.42 | Professional | None | $10.47 | $20.42 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $19.50 | Professional | None | $11.22 | $13.18 | $19.50 |
BCBS Arkansas Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $20.42 | Facility | None | $15.14 | $15.14 | $20.42 |
BCBS Arkansas Setting Professional Modifier None Typical Low $14.79 Median $21.88 Typical High $21.88 | Professional | None | $14.79 | $21.88 | $21.88 |
CareSource Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $13.18 | Professional | None | $8.51 | $8.51 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $16.22 Typical High $33.11 | Facility | None | $11.22 | $16.22 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $9.33 Typical High $19.05 | Professional | None | $6.03 | $9.33 | $19.05 |
Qualchoice Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $22.91 | Professional | None | $12.88 | $15.14 | $22.91 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $13.18 | Facility | None | $11.75 | $11.75 | $13.18 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $17.78 | Professional | None | $5.25 | $7.94 | $17.78 |
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 $5.25 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $5.25 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $2.09 | $4.07 | $4.07 |
Where Arkansas sits
The same service costs 9.1 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· 17th of 51
$15.14
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.