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 $1,071.52 Median $1,862.09 Typical High $4,168.69 | Facility | None | $1,071.52 | $1,862.09 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,548.13 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,000.00 | Facility | None | $501.19 | $501.19 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $6,025.60 Typical High $7,244.36 | Professional | None | $2,454.71 | $6,025.60 | $7,244.36 |
United Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $1,995.26 | Facility | None | $281.84 | $457.09 | $1,995.26 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $4,466.84 Typical High $7,244.36 | Professional | None | $3,162.28 | $4,466.84 | $7,244.36 |
4 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 $1,862.09 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,862.09 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $851.14 Typical High $851.14 | Professional | 53 · Discontinued | $741.31 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $3,162.28 Typical High $3,162.28 | Professional | 54 · Surgery only | $2,818.38 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $2,951.21 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $2,630.27 | $2,951.21 | $2,951.21 |
Where Arkansas sits
The same service costs 7.6 times more in Alaska than in Arkansas. 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· 51st of 51
$1,820
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.