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 $125.89 | Professional | None | $70.79 | $89.13 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $144.54 | Professional | None | $123.03 | $141.25 | $144.54 |
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 $107.15 Median $109.65 Typical High $144.54 | Professional | None | $107.15 | $109.65 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $165.96 | Professional | None | $81.28 | $141.25 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $128.82 | Professional | None | $61.66 | $69.18 | $128.82 |
Qualchoice Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $165.96 | Professional | None | $141.25 | $162.18 | $165.96 |
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 $87.10 Median $87.10 Typical High $117.49 | Professional | None | $87.10 | $87.10 | $117.49 |
3 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 U4 · State-defined Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | U4 · State-defined | $79.43 | $79.43 | $79.43 |
Qualchoice Setting Professional Modifier U4 · State-defined Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | U4 · State-defined | $91.20 | $91.20 | $91.20 |
Qualchoice Setting Professional Modifier XE · Separate encounter Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | XE · Separate encounter | $128.82 | $128.82 | $128.82 |
Where Arkansas sits
The same service costs 1.7 times more in Alaska than in Ohio. 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
$110
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.