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 $41.69 Median $41.69 Typical High $50.12 | Facility | None | $41.69 | $41.69 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $41.69 Typical High $41.69 | Professional | None | $25.70 | $41.69 | $41.69 |
BCBS Arkansas Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $41.69 | Facility | None | $30.20 | $30.20 | $41.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $39.81 | Professional | None | $26.30 | $26.30 | $39.81 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $26.30 | Professional | None | $17.38 | $17.38 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $31.62 Typical High $70.79 | Facility | None | $20.89 | $31.62 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $26.30 | Facility | None | $23.99 | $23.99 | $26.30 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $30.90 | Professional | None | $11.22 | $15.14 | $30.90 |
4 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 $11.48 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $11.48 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $4.57 | $8.32 | $8.32 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | XU · Unusual separate service | $22.39 | $22.39 | $22.39 |
Qualchoice Setting Professional Modifier XU · Unusual separate service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | XU · Unusual separate service | $25.70 | $25.70 | $25.70 |
Where Arkansas sits
The same service costs 5.6 times more in Alaska than in Delaware. 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· 28th of 51
$30.20
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.