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 $32.36 Median $54.95 Typical High $54.95 | Professional | None | $32.36 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $63.10 | Facility | None | $45.71 | $45.71 | $63.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $45.71 | Professional | None | $30.20 | $30.20 | $45.71 |
CareSource Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $40.74 | Professional | None | $26.30 | $26.30 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $52.48 Typical High $89.13 | Facility | None | $32.36 | $52.48 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $57.54 | Professional | None | $19.50 | $25.12 | $57.54 |
Qualchoice Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
United Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $54.95 | Professional | None | $16.98 | $24.55 | $54.95 |
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 $16.22 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $16.22 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $6.46 | $10.96 | $10.96 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 16th of 51
$45.71
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.