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 $19.05 Median $31.62 Typical High $31.62 | Facility | None | $19.05 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | None | $28.84 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
BCBS Arkansas Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $45.71 | Facility | None | $32.36 | $32.36 | $45.71 |
BCBS Arkansas Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $33.11 | Professional | None | $25.12 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $52.48 | Facility | None | $35.48 | $35.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $37.15 | Professional | None | $21.88 | $33.88 | $37.15 |
Qualchoice Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
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 $16.60 Median $20.89 Typical High $30.90 | Professional | None | $16.60 | $20.89 | $30.90 |
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 $14.45 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $14.45 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.31 |
Where Arkansas sits
The same service costs 3.3 times more in Alaska than in South Carolina. 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· 19th of 51
$32.36
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.