How much rates vary
Facilitymedian $813 · 10th to 90th $417 to $1,995Professionalmedian $891 · 10th to 90th $661 to $1,259
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 $630.96 Median $1,071.52 Typical High $2,454.71 | Facility | None | $630.96 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $891.25 | Professional | None | $676.08 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $1,047.13 | Facility | None | $588.84 | $812.83 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,202.26 Typical High $1,230.27 | Professional | None | $707.95 | $1,202.26 | $1,230.27 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,187.76 | Facility | None | $407.38 | $588.84 | $2,187.76 |
United Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,380.38 | Professional | None | $630.96 | $851.14 | $1,380.38 |
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 $331.13 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $331.13 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $134.90 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $501.19 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $100.00 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $67.61 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $467.74 | $630.96 | $630.96 |
Where Arkansas sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.