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 $18.62 Median $22.91 Typical High $30.90 | Facility | None | $18.62 | $22.91 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $22.91 | Professional | None | $18.62 | $21.38 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $40.74 | Professional | None | $39.81 | $39.81 | $40.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $35.48 | Facility | None | $25.12 | $25.12 | $35.48 |
BCBS Arkansas Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $33.11 | Professional | None | $19.95 | $25.12 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $44.67 | Professional | None | $25.70 | $32.36 | $44.67 |
Qualchoice Setting Professional Modifier None Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | None | $45.71 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $64.57 | Facility | None | $28.18 | $35.48 | $64.57 |
United Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $33.11 | Professional | None | $22.91 | $25.12 | $33.11 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 97 · Rehabilitative service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 97 · Rehabilitative service | $39.81 | $39.81 | $39.81 |
Ambetter Setting Professional Modifier AT · Acute treatment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | AT · Acute treatment | $43.65 | $43.65 | $43.65 |
Where Arkansas sits
The same service costs 2.8 times more in Alaska 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· 23rd of 51
$28.84
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.