How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $15.85 Median $19.05 Typical High $61.66 | Facility | None | $15.85 | $19.05 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $40.74 Typical High $61.66 | Professional | None | $14.45 | $40.74 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $79.43 | Professional | None | $13.80 | $19.05 | $79.43 |
BCBS Arkansas Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $64.57 | Professional | None | $48.98 | $48.98 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $36.31 Typical High $83.18 | Professional | None | $12.59 | $36.31 | $83.18 |
Qualchoice Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $69.18 | Professional | None | $15.85 | $20.89 | $69.18 |
United Setting Professional Modifier None Typical Low $11.22 Median $38.90 Typical High $70.79 | Professional | None | $11.22 | $38.90 | $70.79 |
3 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 53 · Discontinued Typical Low $3.16 Median $4.37 Typical High $12.30 | Professional | 53 · Discontinued | $3.16 | $4.37 | $12.30 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $13.80 Median $13.80 Typical High $79.43 | Professional | 59 · Distinct service | $13.80 | $13.80 | $79.43 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $15.85 Median $15.85 Typical High $28.84 | Professional | 59 · Distinct service | $15.85 | $15.85 | $28.84 |
Where Arkansas sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 17th of 51
$48.98
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.