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 $31.62 Median $43.65 Typical High $57.54 | Facility | None | $31.62 | $43.65 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $57.54 | Professional | None | $31.62 | $43.65 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $54.95 | Professional | None | $45.71 | $53.70 | $54.95 |
BCBS Arkansas Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Facility | None | $109.65 | $109.65 | $154.88 |
BCBS Arkansas Setting Professional Modifier None Typical Low $23.99 Median $32.36 Typical High $56.23 | Professional | None | $23.99 | $32.36 | $56.23 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $53.70 Typical High $63.10 | Professional | None | $30.20 | $53.70 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $47.86 | Professional | None | $30.20 | $47.86 | $47.86 |
Qualchoice Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $63.10 | Professional | None | $52.48 | $61.66 | $63.10 |
United Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $398.11 | Facility | None | $173.78 | $218.78 | $398.11 |
United Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $61.66 | Professional | None | $27.54 | $40.74 | $61.66 |
5 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 $15.85 Median $15.85 Typical High $28.84 | Facility | 52 · Reduced service | $15.85 | $15.85 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $11.48 | Facility | 53 · Discontinued | $6.31 | $6.31 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $16.98 Typical High $28.84 | Professional | 52 · Reduced service | $15.85 | $16.98 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.76 Typical High $11.48 | Professional | 53 · Discontinued | $6.31 | $6.76 | $11.48 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 59 · Distinct service | $72.44 | $72.44 | $72.44 |
Where Arkansas sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 16th of 51
$43.65
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.