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 $4.68 Median $4.68 Typical High $5.62 | Facility | None | $4.68 | $4.68 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $4.68 Typical High $4.68 | Professional | None | $2.34 | $4.68 | $4.68 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $3.02 Typical High $5.25 | Professional | None | $2.51 | $3.02 | $5.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $47.86 | Facility | None | $34.67 | $34.67 | $47.86 |
BCBS Arkansas Setting Professional Modifier None Typical Low $3.39 Median $5.01 Typical High $5.01 | Professional | None | $3.39 | $5.01 | $5.01 |
CareSource Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $3.02 | Professional | None | $1.95 | $1.95 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $3.72 Typical High $7.94 | Facility | None | $2.51 | $3.72 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $1.35 Median $2.04 Typical High $4.17 | Professional | None | $1.35 | $2.04 | $4.17 |
Qualchoice Setting Professional Modifier None Typical Low $2.95 Median $3.47 Typical High $6.03 | Professional | None | $2.95 | $3.47 | $6.03 |
United Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $112.20 | Facility | None | $48.98 | $60.26 | $112.20 |
United Setting Professional Modifier None Typical Low $1.26 Median $2.45 Typical High $12.59 | Professional | None | $1.26 | $2.45 | $12.59 |
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 $1.17 Median $2.34 Typical High $2.34 | Professional | 52 · Reduced service | $1.17 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.93 Typical High $0.93 | Professional | 53 · Discontinued | $0.47 | $0.93 | $0.93 |
Where Arkansas sits
The same service costs 28.2 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
$4.68
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.