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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $54.95 Typical High $54.95 | Professional | None | $29.51 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $72.44 | Professional | None | $29.51 | $35.48 | $72.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $54.95 | Facility | None | $39.81 | $39.81 | $54.95 |
BCBS Arkansas Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $43.65 | Professional | None | $29.51 | $29.51 | $43.65 |
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 $27.54 Median $44.67 Typical High $89.13 | Facility | None | $27.54 | $44.67 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $52.48 | Professional | None | $19.50 | $25.12 | $52.48 |
Qualchoice Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $83.18 | Professional | None | $34.67 | $46.77 | $83.18 |
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 $14.79 Median $23.99 Typical High $54.95 | Professional | None | $14.79 | $23.99 | $54.95 |
3 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 $14.13 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $14.13 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $5.62 | $10.96 | $10.96 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $29.51 Median $29.51 Typical High $72.44 | Professional | 90 · Outside lab | $29.51 | $29.51 | $72.44 |
Where Arkansas sits
The same service costs 3.5 times more in Vermont 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· 21st of 51
$39.81
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.