How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,023 to $7,079Professionalmedian $2,884 · 10th to 90th $2,089 to $4,074
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 $1,174.90 Median $2,041.74 Typical High $2,884.03 | Facility | None | $1,174.90 | $2,041.74 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,238.72 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,388.44 Typical High $3,981.07 | Facility | None | $588.84 | $3,388.44 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,801.89 Typical High $3,981.07 | Professional | None | $2,137.96 | $3,801.89 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $9,120.11 | Facility | None | $1,698.24 | $2,570.40 | $9,120.11 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $4,466.84 | Professional | None | $2,041.74 | $2,570.40 | $4,466.84 |
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 $1,148.15 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,148.15 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $457.09 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,698.24 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $346.74 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $229.09 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,041.74 | $2,041.74 |
Where Arkansas sits
The same service costs 4.0 times more in Alaska 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.
Physician feeFacility fee
AK $19,772TX $4,915
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.