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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $16.60 Typical High $16.60 | Professional | None | $11.22 | $16.60 | $16.60 |
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 $11.48 Median $18.62 Typical High $23.44 | Professional | None | $11.48 | $18.62 | $23.44 |
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 $11.22 Median $14.45 Typical High $25.12 | Professional | None | $11.22 | $14.45 | $25.12 |
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 $5.62 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $5.62 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.24 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.51 Typical High $2.51 | Professional | 55 · Aftercare only | $1.70 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.66 Typical High $1.66 | Professional | 56 · Pre-op care only | $1.12 | $1.66 | $1.66 |
Where Arkansas sits
The same service costs 12.3 times more in Florida 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· 17th of 51
$21.88
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.