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 $23.44 Median $23.99 Typical High $23.99 | Facility | None | $23.44 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | None | $22.91 | $23.99 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $44.67 | Facility | None | $32.36 | $32.36 | $44.67 |
BCBS Arkansas Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $26.30 | Professional | None | $19.95 | $19.95 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $53.70 | Facility | None | $35.48 | $35.48 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $21.88 Typical High $33.11 | Professional | None | $9.77 | $21.88 | $33.11 |
Qualchoice Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
United Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $112.20 | Facility | None | $48.98 | $60.26 | $112.20 |
United Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $38.02 | Professional | None | $16.60 | $21.88 | $38.02 |
2 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 $11.48 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $11.48 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.57 | $4.79 | $4.79 |
Where Arkansas sits
The same service costs 2.8 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
$28.18
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.