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 $1,174.90 Median $1,905.46 Typical High $5,011.87 | Facility | None | $1,174.90 | $1,905.46 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,174.90 Typical High $1,479.11 | Professional | None (both parts) | $1,096.48 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $363.08 Typical High $416.87 | Professional | 26 · Professional part | $288.40 | $363.08 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $812.83 Typical High $977.24 | Professional | TC · Technical part | $741.31 | $812.83 | $977.24 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
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 $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,412.54 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | 26 · Professional part | $323.59 | $323.59 | $426.58 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $977.24 | Professional | TC · Technical part | $741.31 | $741.31 | $977.24 |
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 $1,096.48 Median $1,659.59 Typical High $2,344.23 | Professional | None (both parts) | $1,096.48 | $1,659.59 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $512.86 Typical High $676.08 | Professional | 26 · Professional part | $323.59 | $512.86 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,148.15 Typical High $1,659.59 | Professional | TC · Technical part | $776.25 | $1,148.15 | $1,659.59 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $1,905.46 |
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 $954.99 Median $1,380.38 Typical High $2,041.74 | Professional | None (both parts) | $954.99 | $1,380.38 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $436.52 Typical High $630.96 | Professional | 26 · Professional part | $275.42 | $436.52 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $954.99 Typical High $1,445.44 | Professional | TC · Technical part | $676.08 | $954.99 | $1,445.44 |
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 $831.76 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $831.76 | $891.25 | $891.25 |
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· 22nd of 51
$1,738
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.