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 $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $31.62 Typical High $31.62 | Professional | None | $19.05 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $31.62 | Professional | None | $17.38 | $20.42 | $31.62 |
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 $20.42 Median $20.42 Typical High $30.20 | Professional | None | $20.42 | $20.42 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $20.42 | Professional | None | $13.18 | $13.18 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $25.12 Typical High $51.29 | Facility | None | $16.98 | $25.12 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $30.20 | Professional | None | $13.18 | $14.45 | $30.20 |
Qualchoice Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $36.31 | Professional | None | $19.95 | $23.44 | $36.31 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $20.42 | Facility | None | $18.20 | $18.20 | $20.42 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $26.30 | Professional | None | $12.02 | $16.22 | $26.30 |
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 $8.71 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $8.71 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $3.47 | $6.31 | $6.31 |
Where Arkansas sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 36th 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.