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 $18.62 Median $18.62 Typical High $19.05 | Facility | None | $18.62 | $18.62 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $18.62 Typical High $18.62 | Professional | None | $9.55 | $18.62 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.02 | Professional | None | $10.23 | $10.23 | $12.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $18.62 | Facility | None | $13.80 | $13.80 | $18.62 |
BCBS Arkansas Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $17.78 | Professional | None | $12.02 | $12.02 | $17.78 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | None | $7.76 | $7.76 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $30.90 | Facility | None | $10.23 | $14.79 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $8.51 Typical High $16.98 | Professional | None | $5.50 | $8.51 | $16.98 |
Qualchoice Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $13.80 | Professional | None | $11.75 | $11.75 | $13.80 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $12.02 | Facility | None | $10.72 | $10.72 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $16.60 | Professional | None | $5.01 | $7.41 | $16.60 |
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 $4.68 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $4.68 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $1.91 | $3.72 | $3.72 |
Where Arkansas sits
The same service costs 3.9 times more in Kansas than in New Jersey. 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
$13.80
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.