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 $3,090.30 | Facility | None | $1,071.52 | $1,862.09 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,570.40 | $3,090.30 | $3,090.30 |
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 $1,819.70 Median $4,168.69 Typical High $5,248.07 | Professional | None | $1,819.70 | $4,168.69 | $5,248.07 |
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 $2,344.23 Median $3,311.31 Typical High $5,248.07 | Professional | None | $2,344.23 | $3,311.31 | $5,248.07 |
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 $1,348.96 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,348.96 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $549.54 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $2,041.74 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $407.38 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $275.42 | $309.03 | $309.03 |
Where Arkansas sits
The same service costs 5.8 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
$1,738
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.