How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $14.45 Median $14.45 Typical High $45.71 | Facility | None | $14.45 | $14.45 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $28.84 Typical High $45.71 | Professional | None | $12.30 | $28.84 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $61.66 | Professional | None | $12.88 | $21.88 | $61.66 |
BCBS Arkansas Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $47.86 | Professional | None | $36.31 | $40.74 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $56.23 | Professional | None | $30.90 | $44.67 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $28.84 Typical High $63.10 | Professional | None | $14.79 | $28.84 | $63.10 |
Qualchoice Setting Professional Modifier None Typical Low $14.79 Median $25.12 Typical High $70.79 | Professional | None | $14.79 | $25.12 | $70.79 |
United Setting Professional Modifier None Typical Low $11.48 Median $32.36 Typical High $70.79 | Professional | None | $11.48 | $32.36 | $70.79 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $11.48 Typical High $22.91 | Professional | 52 · Reduced service | $7.24 | $11.48 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $4.57 Typical High $9.12 | Professional | 53 · Discontinued | $2.88 | $4.57 | $9.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $18.62 Median $18.62 Typical High $75.86 | Professional | 59 · Distinct service | $18.62 | $18.62 | $75.86 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $21.38 Median $21.38 Typical High $87.10 | Professional | 59 · Distinct service | $21.38 | $21.38 | $87.10 |
Where Arkansas sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 28th of 51
$36.31
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.