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 $19.05 Median $21.38 Typical High $25.70 | Facility | None | $19.05 | $21.38 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $21.38 Typical High $21.38 | Professional | None | $12.30 | $21.38 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
BCBS Arkansas Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $26.30 | Facility | None | $19.05 | $19.05 | $26.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $22.91 | Professional | None | $15.14 | $15.14 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.98 | Professional | None | $10.96 | $10.96 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $14.79 Typical High $31.62 | Facility | None | $11.22 | $14.79 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $23.99 | Professional | None | $7.59 | $8.51 | $23.99 |
Qualchoice Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $16.98 | Facility | None | $15.14 | $15.14 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $16.98 | Professional | None | $7.08 | $7.59 | $16.98 |
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 $6.46 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $6.46 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $2.57 | $4.27 | $4.27 |
Where Arkansas sits
The same service costs 3.6 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· 15th of 51
$19.05
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.