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 $2,951.21 Median $7,244.36 Typical High $13,803.84 | Facility | None | $2,951.21 | $7,244.36 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $467.74 | Professional | None | $316.23 | $323.59 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $22,387.21 Typical High $26,915.35 | Facility | None | $575.44 | $22,387.21 | $26,915.35 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $8,511.38 Typical High $46,773.51 | Facility | None | $1,318.26 | $8,511.38 | $46,773.51 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $2,691.53 | Professional | None | $398.11 | $549.54 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $8,912.51 Typical High $38,018.94 | Facility | None | $1,412.54 | $8,912.51 | $38,018.94 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $758.58 | Professional | None | $380.19 | $549.54 | $758.58 |
5 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 $158.49 Median $158.49 Typical High $173.78 | Professional | 52 · Reduced service | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 53 · Discontinued | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $263.03 | Professional | 54 · Surgery only | $234.42 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $34.67 |
Where Kansas sits
The same service costs 63.1 times more in Arkansas 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.
Kansas· 24th of 51
$1,585
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.