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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | None | $53.70 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
BCBS Arkansas Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $51.29 | Facility | None | $36.31 | $36.31 | $51.29 |
BCBS Arkansas Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | None | $38.02 | $38.02 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $61.66 Typical High $91.20 | Professional | None | $33.88 | $61.66 | $91.20 |
Qualchoice Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
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 $46.77 Median $53.70 Typical High $66.07 | Professional | None | $46.77 | $53.70 | $66.07 |
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 $26.92 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $26.92 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $10.72 | $12.30 | $12.30 |
Where Arkansas sits
The same service costs 2.6 times more in Nebraska 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· 47th of 51
$50.12
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.