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 $1,258.93 Median $2,344.23 Typical High $5,011.87 | Facility | None | $1,258.93 | $2,344.23 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,258.93 Typical High $1,621.81 | Professional | None (both parts) | $1,071.52 | $1,258.93 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $302.00 | $389.05 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $851.14 Typical High $891.25 | Professional | TC · Technical part | $758.58 | $851.14 | $891.25 |
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 $1,148.15 Median $1,148.15 Typical High $1,513.56 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,513.56 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $457.09 | Professional | 26 · Professional part | $346.74 | $346.74 | $457.09 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | TC · Technical part | $794.33 | $794.33 | $1,047.13 |
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 $1,202.26 Median $1,778.28 Typical High $2,570.40 | Professional | None (both parts) | $1,202.26 | $1,778.28 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $549.54 Typical High $724.44 | Professional | 26 · Professional part | $346.74 | $549.54 | $724.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,202.26 Typical High $1,862.09 | Professional | TC · Technical part | $870.96 | $1,202.26 | $1,862.09 |
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 $1,047.13 Median $1,445.44 Typical High $2,238.72 | Professional | None (both parts) | $1,047.13 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $467.74 Typical High $676.08 | Professional | 26 · Professional part | $295.12 | $467.74 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,000.00 Typical High $1,584.89 | Professional | TC · Technical part | $724.44 | $1,000.00 | $1,584.89 |
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 $912.01 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $912.01 | $933.25 | $933.25 |
Where Arkansas sits
The same service costs 4.0 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· 24th of 51
$1,862
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.