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 $25.12 Median $25.12 Typical High $26.92 | Facility | None | $25.12 | $25.12 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $26.92 | Professional | None | $23.44 | $25.12 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | None | $31.62 | $31.62 | $34.67 |
BCBS Arkansas Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $39.81 | Facility | None | $28.18 | $28.18 | $39.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | None | $33.11 | $33.11 | $36.31 |
CareSource Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $41.69 | Professional | None | $24.55 | $35.48 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $37.15 | Professional | None | $20.42 | $25.70 | $37.15 |
Qualchoice Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $39.81 | Professional | None | $30.90 | $36.31 | $39.81 |
United Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $112.20 | Facility | None | $48.98 | $61.66 | $112.20 |
United Setting Professional Modifier None Typical Low $22.39 Median $25.70 Typical High $34.67 | Professional | None | $22.39 | $25.70 | $34.67 |
6 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 25 · Same-day visit Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | 25 · Same-day visit | $26.30 | $26.30 | $34.67 |
Ambetter Setting Professional Modifier CG · Policy criteria applied Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | CG · Policy criteria applied | $31.62 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier SE · Publicly funded program Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | SE · Publicly funded program | $24.55 | $24.55 | $24.55 |
Qualchoice Setting Professional Modifier 25 · Same-day visit Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 25 · Same-day visit | $39.81 | $39.81 | $39.81 |
Qualchoice Setting Professional Modifier CG · Policy criteria applied Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | CG · Policy criteria applied | $36.31 | $36.31 | $36.31 |
Qualchoice Setting Professional Modifier SE · Publicly funded program Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | SE · Publicly funded program | $28.18 | $28.18 | $28.18 |
Where Arkansas sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 22nd of 51
$30.90
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.