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 $331.13 Typical High $489.78 | Professional | None | $316.23 | $331.13 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $23,442.29 Typical High $28,183.83 | Facility | None | $602.56 | $23,442.29 | $28,183.83 |
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 $436.52 Median $616.60 Typical High $2,818.38 | Professional | None | $436.52 | $616.60 | $2,818.38 |
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 $426.58 Median $616.60 Typical High $831.76 | Professional | None | $426.58 | $616.60 | $831.76 |
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 $70.79 | Professional | 53 · Discontinued | $63.10 | $63.10 | $70.79 |
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 57.5 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· 23rd of 51
$1,698
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.