How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,023.29 Median $4,897.79 Typical High $7,244.36 | Facility | None | $1,023.29 | $4,897.79 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,047.13 | Professional | None | $954.99 | $1,023.29 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,073.80 Typical High $7,244.36 | Facility | None | $707.95 | $4,073.80 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,819.70 | Professional | None | $891.25 | $1,071.52 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $3,388.44 | Facility | None | $1,023.29 | $1,819.70 | $3,388.44 |
United Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,513.56 | Professional | None | $831.76 | $954.99 | $1,513.56 |
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 $489.78 Median $512.86 Typical High $524.81 | Professional | 52 · Reduced service | $489.78 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $204.17 Typical High $208.93 | Professional | 53 · Discontinued | $194.98 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $758.58 Typical High $794.33 | Professional | 54 · Surgery only | $741.31 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $151.36 Typical High $158.49 | Professional | 55 · Aftercare only | $147.91 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $102.33 Typical High $104.71 | Professional | 56 · Pre-op care only | $97.72 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $707.95 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $691.83 | $707.95 | $741.31 |
Where Delaware sits
The same service costs 8.3 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.
Delaware· 42nd of 51
$1,072
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.