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 $22.39 Median $22.39 Typical High $26.92 | Facility | None | $22.39 | $22.39 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $22.39 Typical High $22.39 | Professional | None | $11.48 | $22.39 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $23.99 | Professional | None | $12.30 | $14.45 | $23.99 |
BCBS Arkansas Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $22.39 | Facility | None | $16.22 | $16.22 | $22.39 |
BCBS Arkansas Setting Professional Modifier None Typical Low $16.22 Median $23.99 Typical High $23.99 | Professional | None | $16.22 | $23.99 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $14.45 | Professional | None | $9.33 | $9.33 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $17.78 Typical High $36.31 | Facility | None | $12.02 | $17.78 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $20.42 | Professional | None | $6.61 | $10.23 | $20.42 |
Qualchoice Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $27.54 | Professional | None | $14.13 | $16.60 | $27.54 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $14.45 | Facility | None | $12.88 | $12.88 | $14.45 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.71 Typical High $23.99 | Professional | None | $5.75 | $8.71 | $23.99 |
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 $5.75 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $5.75 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $2.29 | $4.47 | $4.47 |
Where Arkansas sits
The same service costs 8.3 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· 23rd of 51
$16.22
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.