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 $70.79 Median $89.13 Typical High $102.33 | Facility | None | $70.79 | $89.13 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $117.49 | Professional | None | $70.79 | $89.13 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $141.25 | Professional | None | $107.15 | $117.49 | $141.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
BCBS Arkansas Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | None | $102.33 | $102.33 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $138.04 Typical High $158.49 | Professional | None | $77.62 | $138.04 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $125.89 | Professional | None | $61.66 | $66.07 | $125.89 |
Qualchoice Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $162.18 | Professional | None | $123.03 | $138.04 | $162.18 |
United Setting Facility Modifier None Typical Low $234.42 Median $288.40 Typical High $524.81 | Facility | None | $234.42 | $288.40 | $524.81 |
United Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | None | $83.18 | $83.18 | $112.20 |
4 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 93 · Audio-only telehealth Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 93 · Audio-only telehealth | $117.49 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier U4 · State-defined Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | U4 · State-defined | $117.49 | $117.49 | $117.49 |
Qualchoice Setting Professional Modifier 93 · Audio-only telehealth Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 93 · Audio-only telehealth | $138.04 | $138.04 | $138.04 |
Qualchoice Setting Professional Modifier U4 · State-defined Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | U4 · State-defined | $138.04 | $138.04 | $138.04 |
Where Arkansas sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 10th of 51
$102
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.