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 $100.00 Median $104.71 Typical High $123.03 | Facility | None | $100.00 | $104.71 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $128.82 | Professional | None | $79.43 | $104.71 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | None | $74.13 | $74.13 | $87.10 |
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 |
BCBS Arkansas Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $128.82 | Professional | None | $74.13 | $97.72 | $128.82 |
CareSource Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | None | $56.23 | $56.23 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $158.49 | Facility | None | $52.48 | $74.13 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $144.54 | Professional | None | $45.71 | $53.70 | $144.54 |
Qualchoice Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | None | $87.10 | $87.10 | $100.00 |
United Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $112.20 | Facility | None | $48.98 | $60.26 | $112.20 |
United Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $102.33 | Professional | None | $48.98 | $58.88 | $102.33 |
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 $39.81 Median $52.48 Typical High $61.66 | Professional | 52 · Reduced service | $39.81 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.89 Typical High $24.55 | Professional | 53 · Discontinued | $15.85 | $20.89 | $24.55 |
Where Arkansas sits
The same service costs 4.5 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· 29th of 51
$97.72
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.