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 $33.11 Median $38.02 Typical High $44.67 | Facility | None | $33.11 | $38.02 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $44.67 | Professional | None | $33.11 | $38.02 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | None | $37.15 | $43.65 | $43.65 |
BCBS Arkansas Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $501.19 | Facility | None | $354.81 | $354.81 | $501.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None | $33.11 | $33.11 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $48.98 | Professional | None | $23.44 | $41.69 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $38.90 Typical High $38.90 | Professional | None | $24.55 | $38.90 | $38.90 |
Qualchoice Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | None | $42.66 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $588.84 Median $724.44 Typical High $1,318.26 | Facility | None | $588.84 | $724.44 | $1,318.26 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $52.48 | Professional | None | $32.36 | $32.36 | $52.48 |
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 $17.78 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $17.78 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.08 | $8.91 | $8.91 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 59 · Distinct service | $43.65 | $43.65 | $43.65 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 59 · Distinct service | $50.12 | $50.12 | $50.12 |
Where Arkansas sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 20th of 51
$38.90
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.