How much rates vary
Facilitymedian $282 · 10th to 90th $41 to $468Professionalmedian $123 · 10th to 90th $76 to $170
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 $97.72 Median $97.72 Typical High $117.49 | Facility | None | $97.72 | $97.72 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $95.50 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $54.95 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | TC · Technical part | $43.65 | $43.65 | $56.23 |
BCBS Arkansas Setting Facility Modifier None Typical Low $40.74 Median $281.84 Typical High $389.05 | Facility | None | $40.74 | $281.84 | $389.05 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $123.03 | $123.03 | $162.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $64.57 | $85.11 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | TC · Technical part | $58.88 | $58.88 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $58.88 Typical High $512.86 | Facility | None | $48.98 | $58.88 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $75.86 | $169.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $93.33 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $93.33 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $72.44 | $83.18 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $72.44 | $91.20 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $48.98 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $46.77 | $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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $19.50 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.79 Typical High $17.38 | Professional | 55 · Aftercare only | $14.45 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.77 Typical High $11.75 | Professional | 56 · Pre-op care only | $9.55 | $9.77 | $11.75 |
Where Arkansas sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 15th of 51
$138
AK $331AL $56.23
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.