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 $2,630.27 | Facility | None | $1,071.52 | $1,862.09 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,187.76 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,023.29 | Facility | None | $501.19 | $501.19 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $3,715.35 Typical High $4,570.88 | Professional | None | $1,548.82 | $3,715.35 | $4,570.88 |
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 $2,041.74 Median $2,691.53 Typical High $4,570.88 | Professional | None | $2,041.74 | $2,691.53 | $4,570.88 |
2 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 54 · Surgery only Typical Low $1,737.80 Median $1,995.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,737.80 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,862.09 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,862.09 | $1,862.09 |
Where Arkansas sits
The same service costs 6.3 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.
Arkansas· 49th of 51
$1,778
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.