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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | None | $158.49 | $158.49 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $46.77 | $46.77 | $46.77 |
BCBS Arkansas Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None | $257.04 | $257.04 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $151.36 Typical High $204.17 | Facility | None | $30.20 | $151.36 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $251.19 | Facility | None | $194.98 | $194.98 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $199.53 | Professional | None | $165.96 | $194.98 | $199.53 |
Cigna Setting Professional Modifier RR · Rental Typical Low $16.60 Median $19.50 Typical High $25.12 | Professional | RR · Rental | $16.60 | $19.50 | $25.12 |
Qualchoice Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Qualchoice Setting Professional Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $20.42 Median $138.04 Typical High $251.19 | Professional | None | $20.42 | $138.04 | $251.19 |
United Setting Professional Modifier RR · Rental Typical Low $13.80 Median $20.42 Typical High $33.88 | Professional | RR · Rental | $13.80 | $20.42 | $33.88 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $173.78 | Professional | UE · Used equipment | $117.49 | $117.49 | $173.78 |
Where Arkansas sits
The same service costs 27.5 times more in Kansas than in Illinois. 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· 21st of 51
$224
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.