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 $5.25 Median $5.25 Typical High $52.48 | Facility | None | $5.25 | $5.25 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $13.80 Typical High $52.48 | Professional | None | $5.25 | $13.80 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.38 Typical High $10.47 | Professional | 53 · Discontinued | $1.05 | $1.38 | $10.47 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
BCBS Arkansas Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Professional | None | $53.70 | $53.70 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $69.18 | Professional | None | $47.86 | $67.61 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | None | $51.29 | $53.70 | $53.70 |
Qualchoice Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $4.90 Median $45.71 Typical High $75.86 | Professional | None | $4.90 | $45.71 | $75.86 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 59 · Distinct service | $7.24 | $7.24 | $7.24 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | GC · Resident with teaching physician | $7.24 | $7.24 | $7.24 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 59 · Distinct service | $8.32 | $8.32 | $8.32 |
Qualchoice Setting Professional Modifier GC · Resident with teaching physician Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | GC · Resident with teaching physician | $8.32 | $8.32 | $8.32 |
Where Arkansas sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 31st of 51
$52.48
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.