How much rates vary
Facilitymedian $3,020 · 10th to 90th $676 to $4,266Professionalmedian $813 · 10th to 90th $537 to $1,288
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 $630.96 Median $1,318.26 Typical High $5,011.87 | Facility | None | $630.96 | $1,318.26 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $812.83 Typical High $912.01 | Professional | None (both parts) | $575.44 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $223.87 | $269.15 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $371.54 | $549.54 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $4,168.69 | Facility | None | $3,019.95 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None (both parts) | $707.95 | $707.95 | $954.99 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | 26 · Professional part | $239.88 | $239.88 | $316.23 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $630.96 | Professional | TC · Technical part | $478.63 | $478.63 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,905.46 | Facility | None | $501.19 | $501.19 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,174.90 Typical High $1,445.44 | Professional | None (both parts) | $512.86 | $1,174.90 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $380.19 Typical High $512.86 | Professional | 26 · Professional part | $251.19 | $380.19 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $794.33 Typical High $933.25 | Professional | TC · Technical part | $295.12 | $794.33 | $933.25 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,096.48 | $1,513.56 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $724.44 Typical High $1,412.54 | Professional | None (both parts) | $398.11 | $724.44 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $302.00 Typical High $467.74 | Professional | 26 · Professional part | $208.93 | $302.00 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $489.78 Typical High $954.99 | Professional | TC · Technical part | $123.03 | $489.78 | $954.99 |
6 more rates 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 52 · Reduced service Typical Low $323.59 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $323.59 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $489.78 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $97.72 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $64.57 | $81.28 | $81.28 |
Qualchoice Setting Professional Modifier 51 · Multiple procedures Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 51 · Multiple procedures | $912.01 | $912.01 | $912.01 |
Where Arkansas sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 16th of 51
$1,288
WI $2,630TX $603
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.