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 $467.74 Median $1,071.52 Typical High $2,454.71 | Facility | None | $467.74 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $467.74 | Professional | None | $354.81 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $891.25 Typical High $1,122.02 | Facility | None | $588.84 | $891.25 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $616.60 Typical High $645.65 | Professional | None | $380.19 | $616.60 | $645.65 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $724.44 | Professional | None | $309.03 | $407.38 | $724.44 |
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 $177.83 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $177.83 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $263.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $52.48 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $35.48 | $46.77 | $46.77 |
Where Arkansas sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 33rd of 51
$468
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.