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 $446.68 Median $1,071.52 Typical High $2,454.71 | Facility | None | $446.68 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $446.68 | Professional | None | $346.74 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $645.65 | Facility | None | $363.08 | $489.78 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $676.08 Typical High $812.83 | Professional | None | $380.19 | $676.08 | $812.83 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $691.83 | Professional | None | $309.03 | $407.38 | $691.83 |
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 $169.82 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $169.82 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $69.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $257.04 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $51.29 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $34.67 | $44.67 | $44.67 |
Where Arkansas sits
The same service costs 4.9 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· 32nd of 51
$447
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.