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 $12.02 Median $13.49 Typical High $15.49 | Facility | None | $12.02 | $13.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $13.49 Typical High $13.49 | Professional | None | $6.76 | $13.49 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $12.02 | Professional | None | $7.41 | $8.71 | $12.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $13.49 | Facility | None | $9.77 | $9.77 | $13.49 |
BCBS Arkansas Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $14.45 | Professional | None | $9.77 | $14.45 | $14.45 |
CareSource Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $8.71 | Professional | None | $5.62 | $5.62 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $10.72 Typical High $21.88 | Facility | None | $7.24 | $10.72 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $6.17 Typical High $12.30 | Professional | None | $3.89 | $6.17 | $12.30 |
Qualchoice Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $13.80 | Professional | None | $8.51 | $10.00 | $13.80 |
United Setting Facility Modifier None Typical Low $2.95 Median $7.76 Typical High $44.67 | Facility | None | $2.95 | $7.76 | $44.67 |
United Setting Professional Modifier None Typical Low $3.63 Median $4.90 Typical High $10.96 | Professional | None | $3.63 | $4.90 | $10.96 |
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 $3.39 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $3.39 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $1.38 | $2.69 | $2.69 |
Where Arkansas sits
The same service costs 13.2 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· 23rd of 51
$9.77
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.