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 $30.90 Median $30.90 Typical High $38.02 | Facility | None | $30.90 | $30.90 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $30.90 Typical High $30.90 | Professional | None | $16.98 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
BCBS Arkansas Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $31.62 | Facility | None | $22.91 | $22.91 | $31.62 |
BCBS Arkansas Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $30.20 | Professional | None | $19.95 | $19.95 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $19.95 | Professional | None | $12.88 | $12.88 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $53.70 | Facility | None | $16.98 | $24.55 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $31.62 | Professional | None | $11.75 | $14.13 | $31.62 |
Qualchoice Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $19.95 | Facility | None | $18.20 | $18.20 | $19.95 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $31.62 | Professional | None | $8.51 | $13.80 | $31.62 |
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 $7.94 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $7.94 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $3.24 | $6.31 | $6.31 |
Where Arkansas sits
The same service costs 4.3 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· 22nd of 51
$22.91
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.