How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,023 to $7,413Professionalmedian $977 · 10th to 90th $724 to $1,349
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 $933.25 Median $1,698.24 Typical High $2,818.38 | Facility | None | $933.25 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $933.25 | Professional | None | $758.58 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $4,168.69 | Facility | None | $588.84 | $3,467.37 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,288.25 Typical High $1,348.96 | Professional | None | $707.95 | $1,288.25 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $10,715.19 | Facility | None | $1,698.24 | $2,570.40 | $10,715.19 |
United Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,548.82 | Professional | None | $691.83 | $912.01 | $1,548.82 |
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 $380.19 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $380.19 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $575.44 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $75.86 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $537.03 | $660.69 | $660.69 |
Where Arkansas sits
The same service costs 6.4 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 $12,938TX $2,024
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.