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 $1,380.38 Median $2,344.23 Typical High $5,011.87 | Facility | None | $1,380.38 | $2,344.23 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,202.26 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $338.84 | $436.52 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $851.14 | $977.24 | $977.24 |
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 $1,258.93 Median $1,258.93 Typical High $1,659.59 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,659.59 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $501.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $501.19 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | TC · Technical part | $870.96 | $870.96 | $1,174.90 |
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 $1,288.25 Median $1,949.84 Typical High $2,754.23 | Professional | None (both parts) | $1,288.25 | $1,949.84 | $2,754.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $602.56 Typical High $794.33 | Professional | 26 · Professional part | $389.05 | $602.56 | $794.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,348.96 Typical High $1,949.84 | Professional | TC · Technical part | $912.01 | $1,348.96 | $1,949.84 |
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 $1,148.15 Median $1,621.81 Typical High $2,398.83 | Professional | None (both parts) | $1,148.15 | $1,621.81 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $512.86 Typical High $741.31 | Professional | 26 · Professional part | $331.13 | $512.86 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,122.02 Typical High $1,698.24 | Professional | TC · Technical part | $812.83 | $1,122.02 | $1,698.24 |
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 $977.24 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $977.24 | $1,047.13 | $1,047.13 |
Where Arkansas sits
The same service costs 3.9 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· 23rd of 51
$1,950
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.