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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $112.20 | Professional | None | $74.13 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $676.08 | Facility | None | $380.19 | $478.63 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $154.88 | Professional | None | $70.79 | $123.03 | $154.88 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $741.31 | Facility | None | $79.43 | $131.83 | $741.31 |
United Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $162.18 | Professional | None | $74.13 | $95.50 | $162.18 |
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 $37.15 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $37.15 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $14.79 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $11.22 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $7.41 | $11.22 | $11.22 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 32nd of 51
$115
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.