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 $70.79 Median $109.65 Typical High $109.65 | Facility | None | $70.79 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $109.65 | Professional | None | $60.26 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $109.65 | Facility | None | $79.43 | $79.43 | $109.65 |
BCBS Arkansas Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $104.71 | Professional | None | $70.79 | $70.79 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $70.79 | Professional | None | $45.71 | $45.71 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $104.71 Typical High $144.54 | Facility | None | $56.23 | $104.71 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $104.71 | Professional | None | $33.11 | $44.67 | $104.71 |
United Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $70.79 | Facility | None | $63.10 | $63.10 | $70.79 |
United Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $87.10 | Professional | None | $29.51 | $43.65 | $87.10 |
4 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 $28.18 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $28.18 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $11.22 | $21.88 | $21.88 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | QW · Waived lab test | $70.79 | $70.79 | $120.23 |
Qualchoice Setting Professional Modifier QW · Waived lab test Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | QW · Waived lab test | $81.28 | $81.28 | $138.04 |
Where Arkansas sits
The same service costs 4.0 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· 20th of 51
$79.43
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.