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 $16.22 Median $16.22 Typical High $19.50 | Facility | None | $16.22 | $16.22 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $16.22 Typical High $16.22 | Professional | None | $8.13 | $16.22 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $10.23 Typical High $21.38 | Professional | None | $8.71 | $10.23 | $21.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $16.22 | Facility | None | $11.75 | $11.75 | $16.22 |
BCBS Arkansas Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $15.49 | Professional | None | $10.23 | $10.23 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $10.23 | Professional | None | $6.76 | $6.76 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $12.88 Typical High $25.70 | Facility | None | $8.71 | $12.88 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $15.14 | Professional | None | $4.79 | $7.24 | $15.14 |
Qualchoice Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $24.55 | Professional | None | $10.00 | $11.75 | $24.55 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $10.23 | Facility | None | $9.33 | $9.33 | $10.23 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.31 Typical High $17.38 | Professional | None | $4.37 | $6.31 | $17.38 |
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 $4.07 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $4.07 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $1.62 | $3.24 | $3.24 |
Where Arkansas sits
The same service costs 12.6 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· 20th of 51
$11.75
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.