How much rates vary
Facilitymedian $1,230 · 10th to 90th $759 to $4,786Professionalmedian $1,549 · 10th to 90th $1,122 to $2,188
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 $954.99 Median $1,548.82 Typical High $2,454.71 | Facility | None | $954.99 | $1,548.82 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,570.88 Typical High $5,370.32 | Facility | None | $588.84 | $4,570.88 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $2,187.76 | Professional | None | $1,096.48 | $2,089.30 | $2,187.76 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $3,388.44 | Facility | None | $794.33 | $1,148.15 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,513.56 | $2,344.23 |
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 $575.44 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $575.44 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $229.09 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $870.96 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $173.78 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $114.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $812.83 | $1,071.52 | $1,071.52 |
Where Arkansas sits
The same service costs 6.1 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 $14,041TX $2,290
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.