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 $190.55 Median $1,000.00 Typical High $2,041.74 | Facility | None | $190.55 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $213.80 Typical High $288.40 | Professional | None | $190.55 | $213.80 | $288.40 |
BCBS Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $331.13 | Facility | None | $141.25 | $245.47 | $331.13 |
BCBS Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $354.81 | Professional | None | $165.96 | $218.78 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $181.97 | Facility | None | $107.15 | $144.54 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $389.05 | Professional | None | $186.21 | $263.03 | $389.05 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $380.19 | Professional | None | $144.54 | $223.87 | $380.19 |
5 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 $95.50 Median $104.71 Typical High $144.54 | Professional | 52 · Reduced service | $95.50 | $104.71 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $42.66 Typical High $58.88 | Professional | 53 · Discontinued | $38.02 | $42.66 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $158.49 Typical High $218.78 | Professional | 54 · Surgery only | $141.25 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $43.65 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $21.38 Typical High $28.84 | Professional | 56 · Pre-op care only | $19.05 | $21.38 | $28.84 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska than in Maryland. 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· 30th of 51
$245
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.