How much rates vary
Facilitymedian $1,995 · 10th to 90th $794 to $6,918Professionalmedian $977 · 10th to 90th $724 to $1,413
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 $630.96 Median $1,071.52 Typical High $2,454.71 | Facility | None | $630.96 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $977.24 | Professional | None | $794.33 | $977.24 | $977.24 |
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 $812.83 Median $1,318.26 Typical High $1,412.54 | Professional | None | $812.83 | $1,318.26 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $7,413.10 | Facility | None | $1,659.59 | $2,511.89 | $7,413.10 |
United Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,513.56 | Professional | None | $676.08 | $933.25 | $1,513.56 |
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 $389.05 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $389.05 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $158.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $588.84 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $117.49 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $79.43 | $97.72 | $97.72 |
Where Arkansas sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $9,843KY $2,122
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.