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 $630.96 Median $1,071.52 Typical High $2,454.71 | Facility | None | $630.96 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $741.31 | Professional | None | $575.44 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,122.02 Typical High $2,511.89 | Facility | None | $891.25 | $1,122.02 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,174.90 Typical High $1,230.27 | Professional | None | $616.60 | $1,174.90 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $4,265.80 | Facility | None | $1,096.48 | $1,479.11 | $4,265.80 |
United Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $1,148.15 | Professional | None | $281.84 | $436.52 | $1,148.15 |
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 $288.40 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $288.40 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $114.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $426.58 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $85.11 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $57.54 | $74.13 | $74.13 |
Where Arkansas sits
The same service costs 10.0 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· 13th of 51
$832
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.