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 $31.62 Median $41.69 Typical High $41.69 | Facility | None | $31.62 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $41.69 | Professional | None | $21.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $12.59 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $5.01 | $8.32 | $8.32 |
BCBS Arkansas Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $51.29 | Facility | None | $37.15 | $37.15 | $51.29 |
BCBS Arkansas Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $44.67 | Professional | None | $29.51 | $29.51 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $41.69 Typical High $61.66 | Facility | None | $25.70 | $41.69 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $45.71 | Professional | None | $14.79 | $16.98 | $45.71 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $33.11 | Facility | None | $29.51 | $29.51 | $33.11 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $33.11 | Professional | None | $13.80 | $19.50 | $33.11 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | QW · Waived lab test | $27.54 | $27.54 | $33.11 |
Qualchoice Setting Professional Modifier QW · Waived lab test Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | QW · Waived lab test | $32.36 | $32.36 | $38.02 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 11th of 51
$37.15
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.