How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,072 to $7,079Professionalmedian $1,820 · 10th to 90th $1,175 to $2,455
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 $1,148.15 Median $1,819.70 Typical High $2,818.38 | Facility | None | $1,148.15 | $1,819.70 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $4,168.69 | Facility | None | $588.84 | $3,467.37 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,398.83 Typical High $2,454.71 | Professional | None | $1,258.93 | $2,398.83 | $2,454.71 |
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 $1,023.29 Median $1,412.54 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,412.54 | $2,818.38 |
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 $660.69 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $660.69 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $263.03 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,000.00 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $199.53 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $131.83 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $933.25 | $1,288.25 | $1,288.25 |
Where Arkansas sits
The same service costs 5.5 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 $15,938KY $2,890
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.