How much rates vary
Facilitymedian $891 · 10th to 90th $891 to $1,288Professionalmedian $1,259 · 10th to 90th $955 to $2,455
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 $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,023.29 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $213.80 | $269.15 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $812.83 | $1,000.00 | $1,000.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
BCBS Arkansas Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,258.93 | Facility | None | $891.25 | $891.25 | $1,258.93 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $257.04 Typical High $309.03 | Professional | 26 · Professional part | $234.42 | $257.04 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,000.00 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,621.81 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $354.81 | Professional | 26 · Professional part | $204.17 | $223.87 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $851.14 Typical High $1,258.93 | Professional | TC · Technical part | $741.31 | $851.14 | $1,258.93 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $389.05 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,412.54 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,737.80 Typical High $3,467.37 | Professional | None (both parts) | $776.25 | $1,737.80 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $239.88 Typical High $407.38 | Professional | 26 · Professional part | $177.83 | $239.88 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,548.82 Typical High $3,090.30 | Professional | TC · Technical part | $446.68 | $1,548.82 | $3,090.30 |
4 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 $512.86 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $512.86 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $204.17 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $154.88 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $102.33 | $125.89 | $125.89 |
Where Arkansas sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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
$1,259
AK $3,020KY $269
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.