How much rates vary
Facilitymedian $151 · 10th to 90th $138 to $200Professionalmedian $170 · 10th to 90th $151 to $204
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 $190.55 Median $190.55 Typical High $436.52 | Facility | None | $190.55 | $190.55 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $151.36 | $151.36 | $204.17 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $40.74 | $40.74 | $53.70 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $112.20 | $112.20 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $288.40 | Facility | None | $151.36 | $151.36 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $91.20 | $257.04 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $28.18 | $63.10 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $190.55 Typical High $229.09 | Professional | TC · Technical part | $63.10 | $190.55 | $229.09 |
United Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $380.19 | Facility | None | $169.82 | $208.93 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $354.81 | Professional | None (both parts) | $120.23 | $177.83 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $42.66 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $257.04 | Professional | TC · Technical part | $85.11 | $125.89 | $257.04 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $19.05 | $19.05 | $19.05 |
Where Arkansas sits
The same service costs 3.2 times more in Kansas than in Utah. 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· 30th of 51
$170
KS $324UT $100
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.