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 $45.71 Median $45.71 Typical High $58.88 | Facility | None | $45.71 | $45.71 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | None | $45.71 | $45.71 | $50.12 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | None | $58.88 | $58.88 | $64.57 |
BCBS Arkansas Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $47.86 | Facility | None | $35.48 | $35.48 | $47.86 |
BCBS Arkansas Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $35.48 | Professional | None | $22.91 | $22.91 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $29.51 Typical High $66.07 | Facility | None | $28.18 | $29.51 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $19.95 Typical High $51.29 | Professional | None | $16.22 | $19.95 | $51.29 |
Qualchoice Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | None | $67.61 | $67.61 | $74.13 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $35.48 | Facility | None | $31.62 | $31.62 | $35.48 |
United Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $47.86 | Professional | None | $19.05 | $26.92 | $47.86 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 30th of 51
$38.90
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.