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 $251.19 Median $1,380.38 Typical High $2,454.71 | Facility | None | $251.19 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $251.19 | Professional | None | $186.21 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $891.25 Typical High $1,122.02 | Facility | None | $588.84 | $891.25 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $446.68 | Professional | None | $218.78 | $371.54 | $446.68 |
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 $169.82 Median $223.87 Typical High $398.11 | Professional | None | $169.82 | $223.87 | $398.11 |
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 $93.33 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $93.33 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $37.15 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | 54 · Surgery only | $141.25 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $28.18 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $18.62 | $25.12 | $25.12 |
Where Arkansas sits
The same service costs 5.1 times more in Alaska than in Utah. 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· 23rd of 51
$302
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.