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 $1,288.25 Median $2,344.23 Typical High $5,011.87 | Facility | None | $1,288.25 | $2,344.23 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,412.54 Typical High $1,698.24 | Professional | None (both parts) | $1,202.26 | $1,412.54 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $467.74 Typical High $478.63 | Professional | 26 · Professional part | $354.81 | $467.74 | $478.63 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $933.25 Typical High $1,071.52 | Professional | TC · Technical part | $831.76 | $933.25 | $1,071.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $446.68 | $616.60 | $616.60 |
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 $407.38 Median $407.38 Typical High $537.03 | Professional | 26 · Professional part | $407.38 | $407.38 | $537.03 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | TC · Technical part | $870.96 | $870.96 | $1,148.15 |
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 $1,318.26 Median $1,949.84 Typical High $2,818.38 | Professional | None (both parts) | $1,318.26 | $1,949.84 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $645.65 Typical High $851.14 | Professional | 26 · Professional part | $416.87 | $645.65 | $851.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,318.26 Typical High $1,949.84 | Professional | TC · Technical part | $912.01 | $1,318.26 | $1,949.84 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $676.08 Typical High $724.44 | Professional | 26 · Professional part | $512.86 | $676.08 | $724.44 |
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 $2,454.71 | Professional | None (both parts) | $1,148.15 | $1,621.81 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $549.54 Typical High $794.33 | Professional | 26 · Professional part | $354.81 | $549.54 | $794.33 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,096.48 Typical High $1,698.24 | Professional | TC · Technical part | $794.33 | $1,096.48 | $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 $1,000.00 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,000.00 | $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· 25th 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.