How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,479 to $4,571Professionalmedian $977 · 10th to 90th $759 to $1,479
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 $691.83 Median $1,318.26 Typical High $5,011.87 | Facility | None | $691.83 | $1,318.26 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $851.14 Typical High $1,202.26 | Professional | None (both parts) | $758.58 | $851.14 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $162.18 Typical High $173.78 | Professional | 26 · Professional part | $131.83 | $162.18 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $676.08 Typical High $831.76 | Professional | TC · Technical part | $645.65 | $676.08 | $831.76 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $158.49 | $229.09 | $229.09 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,621.81 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,621.81 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | None (both parts) | $794.33 | $794.33 | $1,047.13 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $141.25 | $141.25 | $186.21 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $851.14 | Professional | TC · Technical part | $645.65 | $645.65 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,511.89 | Facility | None | $1,479.11 | $1,621.81 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,202.26 Typical High $1,862.09 | Professional | None (both parts) | $912.01 | $1,202.26 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $239.88 Typical High $302.00 | Professional | 26 · Professional part | $144.54 | $239.88 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $977.24 Typical High $1,548.82 | Professional | TC · Technical part | $724.44 | $977.24 | $1,548.82 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $181.97 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $5,754.40 | Facility | None | $1,479.11 | $2,041.74 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,000.00 Typical High $1,698.24 | Professional | None (both parts) | $741.31 | $1,000.00 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $204.17 Typical High $288.40 | Professional | 26 · Professional part | $123.03 | $204.17 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $794.33 Typical High $1,412.54 | Professional | TC · Technical part | $575.44 | $794.33 | $1,412.54 |
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 $630.96 Median $630.96 Typical High $676.08 | Professional | 54 · Surgery only | $630.96 | $630.96 | $676.08 |
Where Arkansas sits
The same service costs 4.3 times more in Wisconsin than in New York. 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
$1,622
WI $3,467NY $813
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.