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 $16.60 Median $16.60 Typical High $19.95 | Facility | None | $16.60 | $16.60 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $16.60 | Professional | None | $14.45 | $16.60 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $14.45 | Professional | None | $11.48 | $13.49 | $14.45 |
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 $12.59 Median $12.59 Typical High $16.60 | Professional | None | $12.59 | $12.59 | $16.60 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $23.44 Typical High $27.54 | Professional | None | $8.51 | $23.44 | $27.54 |
Qualchoice Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $27.54 | Professional | None | $13.18 | $15.49 | $27.54 |
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 $12.88 Median $16.98 Typical High $27.54 | Professional | None | $12.88 | $16.98 | $27.54 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.31 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 59 · Distinct service | $23.99 | $23.99 | $23.99 |
Where Arkansas sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 43rd of 51
$13.80
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.