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 $125.89 Median $138.04 Typical High $165.96 | Facility | None | $125.89 | $138.04 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $165.96 | Professional | None | $117.49 | $138.04 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | None | $158.49 | $158.49 | $162.18 |
BCBS Arkansas Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $645.65 | Facility | None | $457.09 | $457.09 | $645.65 |
BCBS Arkansas Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $154.88 | Professional | None | $97.72 | $117.49 | $154.88 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $169.82 Typical High $199.53 | Professional | None | $95.50 | $169.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $151.36 | Professional | None | $97.72 | $134.90 | $151.36 |
Qualchoice Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | None | $181.97 | $181.97 | $186.21 |
United Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $1,122.02 | Facility | None | $489.78 | $602.56 | $1,122.02 |
United Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $213.80 | Professional | None | $109.65 | $123.03 | $213.80 |
6 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 Facility Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $83.18 | Facility | 52 · Reduced service | $69.18 | $69.18 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $33.11 | Facility | 53 · Discontinued | $27.54 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $27.54 | $33.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 59 · Distinct service | $158.49 | $158.49 | $158.49 |
Qualchoice 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· 24th of 51
$129
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.