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 $870.96 Median $1,698.24 Typical High $2,511.89 | Facility | None | $870.96 | $1,698.24 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,513.56 | Professional | None | $870.96 | $870.96 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $562.34 Typical High $2,137.96 | Facility | None | $501.19 | $562.34 | $2,137.96 |
United Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $1,995.26 | Facility | None | $281.84 | $457.09 | $1,995.26 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,258.93 | $1,819.70 | $2,754.23 |
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 $436.52 Median $436.52 Typical High $741.31 | Professional | 52 · Reduced service | $436.52 | $436.52 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | 53 · Discontinued | $173.78 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $1,096.48 | Professional | 54 · Surgery only | $660.69 | $660.69 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $147.91 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $147.91 |
Where Arkansas sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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· 51st of 51
$871
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.