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 $223.87 Median $1,000.00 Typical High $2,454.71 | Facility | None | $223.87 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $616.60 Typical High $891.25 | Professional | None | $223.87 | $616.60 | $891.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $741.31 Median $1,905.46 Typical High $2,570.40 | Facility | None | $741.31 | $1,905.46 | $2,570.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $977.24 | Professional | None | $162.18 | $213.80 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $977.24 | Facility | None | $478.63 | $602.56 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $1,288.25 | Professional | None | $204.17 | $363.08 | $1,288.25 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $154.88 Median $630.96 Typical High $1,318.26 | Professional | None | $154.88 | $630.96 | $1,318.26 |
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 54 · Surgery only Typical Low $165.96 Median $190.55 Typical High $660.69 | Professional | 54 · Surgery only | $165.96 | $190.55 | $660.69 |
Where Arkansas sits
The same service costs 4.0 times more in Wisconsin 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· 23rd of 51
$776
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.