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 $39.81 Median $39.81 Typical High $42.66 | Facility | None | $39.81 | $39.81 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $39.81 Typical High $39.81 | Professional | None | $25.70 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $12.88 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $5.13 | $7.94 | $7.94 |
BCBS Arkansas Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $47.86 | Facility | None | $34.67 | $34.67 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $30.90 | Professional | None | $19.95 | $19.95 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $63.10 | Facility | None | $19.05 | $27.54 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $48.98 | Professional | None | $15.49 | $17.38 | $48.98 |
United Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $36.31 | Professional | None | $17.78 | $27.54 | $36.31 |
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 XE · Separate encounter Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | XE · Separate encounter | $35.48 | $35.48 | $35.48 |
Qualchoice Setting Professional Modifier XE · Separate encounter Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | XE · Separate encounter | $40.74 | $40.74 | $40.74 |
Where Arkansas sits
The same service costs 6.0 times more in Alaska than in Nevada. 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· 28th of 51
$34.67
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.