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 $234.42 Median $1,479.11 Typical High $2,511.89 | Facility | None | $234.42 | $1,479.11 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $1,318.26 Typical High $2,511.89 | Professional | None | $213.80 | $1,318.26 | $2,511.89 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,089.30 Median $6,309.57 Typical High $8,709.64 | Facility | None | $2,089.30 | $6,309.57 | $8,709.64 |
BCBS Arkansas Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $2,187.76 | Professional | None | $177.83 | $239.88 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,412.54 Typical High $1,778.28 | Facility | None | $630.96 | $1,412.54 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $3,311.31 | Professional | None | $190.55 | $363.08 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $169.82 Median $1,621.81 Typical High $4,466.84 | Professional | None | $169.82 | $1,621.81 | $4,466.84 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $1,862.09 | Professional | 54 · Surgery only | $173.78 | $173.78 | $1,862.09 |
Qualchoice Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 51 · Multiple procedures | $275.42 | $275.42 | $275.42 |
Where Arkansas sits
The same service costs 10.5 times more in Alaska than in Nebraska. 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· 27th of 51
$1,738
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.