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 $21.38 Median $21.38 Typical High $25.70 | Facility | None | $21.38 | $21.38 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $21.38 Typical High $21.38 | Professional | None | $10.72 | $21.38 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $28.84 | Professional | None | $11.75 | $13.80 | $28.84 |
BCBS Arkansas Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $21.38 | Facility | None | $15.49 | $15.49 | $21.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $22.91 | Professional | None | $15.49 | $22.91 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $13.80 | Professional | None | $8.91 | $8.91 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $16.98 Typical High $34.67 | Facility | None | $11.48 | $16.98 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $9.77 Typical High $19.50 | Professional | None | $6.31 | $9.77 | $19.50 |
Qualchoice Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $33.11 | Professional | None | $13.49 | $15.85 | $33.11 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $13.80 | Facility | None | $12.30 | $12.30 | $13.80 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $22.91 | Professional | None | $5.50 | $8.32 | $22.91 |
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 $5.37 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $5.37 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $2.19 | $4.27 | $4.27 |
Where Arkansas sits
The same service costs 3.0 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· 18th of 51
$15.49
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.