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 $5.13 Median $6.61 Typical High $8.91 | Facility | None | $5.13 | $6.61 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $6.61 Typical High $6.61 | Professional | None | $3.39 | $6.61 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $3.63 Median $4.27 Typical High $8.91 | Professional | None | $3.63 | $4.27 | $8.91 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $6.61 | Facility | None | $4.90 | $4.90 | $6.61 |
BCBS Arkansas Setting Professional Modifier None Typical Low $4.79 Median $7.08 Typical High $7.08 | Professional | None | $4.79 | $7.08 | $7.08 |
CareSource Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $4.27 | Professional | None | $2.75 | $2.75 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $5.25 Typical High $11.22 | Facility | None | $3.63 | $5.25 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.95 Typical High $6.17 | Professional | None | $1.95 | $2.95 | $6.17 |
Qualchoice Setting Professional Modifier None Typical Low $4.17 Median $4.90 Typical High $10.23 | Professional | None | $4.17 | $4.90 | $10.23 |
United Setting Facility Modifier None Typical Low $1.38 Median $3.80 Typical High $12.02 | Facility | None | $1.38 | $3.80 | $12.02 |
United Setting Professional Modifier None Typical Low $1.78 Median $3.16 Typical High $7.08 | Professional | None | $1.78 | $3.16 | $7.08 |
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 $1.70 Median $3.31 Typical High $3.31 | Professional | 52 · Reduced service | $1.70 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $1.32 Typical High $1.32 | Professional | 53 · Discontinued | $0.68 | $1.32 | $1.32 |
Where Arkansas sits
The same service costs 24.0 times more in Vermont than in Georgia. 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
$4.90
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.