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 $1,174.90 Median $1,862.09 Typical High $2,818.38 | Facility | None | $1,174.90 | $1,862.09 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,365.16 Typical High $5,248.07 | Facility | None | $588.84 | $4,365.16 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $2,630.27 | Professional | None | $1,479.11 | $2,511.89 | $2,630.27 |
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 $1,318.26 Median $1,659.59 Typical High $2,951.21 | Professional | None | $1,318.26 | $1,659.59 | $2,951.21 |
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 $724.44 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $724.44 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $288.40 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,071.52 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $213.80 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $144.54 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,348.96 | $1,348.96 |
Where Arkansas sits
The same service costs 8.9 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.
Arkansas· 27th of 51
$1,995
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.