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 $22.91 Median $22.91 Typical High $24.55 | Facility | None | $22.91 | $22.91 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | None | $22.91 | $22.91 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | 52 · Reduced service | $11.48 | $11.48 | $12.30 |
BCBS Arkansas Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $102.33 | Facility | None | $72.44 | $72.44 | $102.33 |
BCBS Arkansas Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $30.20 | Professional | None | $20.42 | $22.39 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $31.62 | Professional | None | $23.99 | $31.62 | $31.62 |
United Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $302.00 | Facility | None | $134.90 | $165.96 | $302.00 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $58.88 | Professional | None | $20.89 | $28.84 | $58.88 |
1 more rate 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 59 · Distinct service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 59 · Distinct service | $27.54 | $27.54 | $27.54 |
Where Arkansas sits
The same service costs 2.8 times more in North Dakota than in New Mexico. 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· 36th of 51
$24.55
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.