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 $851.14 Median $1,698.24 Typical High $2,818.38 | Facility | None | $851.14 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $851.14 | Professional | None | $660.69 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,949.84 Typical High $2,344.23 | Facility | None | $588.84 | $1,949.84 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $977.24 Typical High $1,174.90 | Professional | None | $524.81 | $977.24 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $7,413.10 | Facility | None | $1,698.24 | $2,570.40 | $7,413.10 |
United Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,348.96 | Professional | None | $562.34 | $794.33 | $1,348.96 |
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 $331.13 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $331.13 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $501.19 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $100.00 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $467.74 | $602.56 | $602.56 |
Where Arkansas sits
The same service costs 7.6 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· 24th of 51
$977
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.