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 $112.20 Median $125.89 Typical High $151.36 | Facility | None | $112.20 | $125.89 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $151.36 | Professional | None | $109.65 | $125.89 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $158.49 | Professional | None | $134.90 | $158.49 | $158.49 |
BCBS Arkansas Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $144.54 | Professional | None | $100.00 | $109.65 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $158.49 Typical High $186.21 | Professional | None | $91.20 | $158.49 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $141.25 | Professional | None | $89.13 | $120.23 | $141.25 |
Qualchoice Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $181.97 | Professional | None | $154.88 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $645.65 | Facility | None | $281.84 | $354.81 | $645.65 |
United Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $208.93 | Professional | None | $102.33 | $114.82 | $208.93 |
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 $58.88 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.18 Typical High $30.20 | Professional | 53 · Discontinued | $23.99 | $28.18 | $30.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 59 · Distinct service | $181.97 | $181.97 | $181.97 |
Where Arkansas sits
The same service costs 2.3 times more in Alaska 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· 11th of 51
$132
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.