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 $120.23 Median $138.04 Typical High $199.53 | Facility | None | $120.23 | $138.04 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $173.78 | Professional | None | $120.23 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $70.79 Typical High $87.10 | Professional | 52 · Reduced service | $58.88 | $70.79 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $223.87 | Professional | None | $199.53 | $213.80 | $223.87 |
BCBS Arkansas Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $173.78 | Facility | None | $125.89 | $125.89 | $173.78 |
BCBS Arkansas Setting Professional Modifier None Typical Low $117.49 Median $173.78 Typical High $257.04 | Professional | None | $117.49 | $173.78 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $269.15 | Professional | None | $104.71 | $154.88 | $269.15 |
Qualchoice Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $257.04 | Professional | None | $229.09 | $245.47 | $257.04 |
United Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $398.11 | Facility | None | $173.78 | $218.78 | $398.11 |
United Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $251.19 | Professional | None | $117.49 | $169.82 | $251.19 |
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 25 · Same-day visit Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 25 · Same-day visit | $199.53 | $199.53 | $199.53 |
Qualchoice Setting Professional Modifier 25 · Same-day visit Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 25 · Same-day visit | $229.09 | $229.09 | $229.09 |
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· 18th of 51
$174
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.