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 $741.31 Median $1,288.25 Typical High $2,454.71 | Facility | None | $741.31 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $741.31 | Professional | None | $562.34 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $630.96 Typical High $831.76 | Facility | None | $489.78 | $630.96 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,230.27 Typical High $1,318.26 | Professional | None | $630.96 | $1,230.27 | $1,318.26 |
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 $501.19 Median $676.08 Typical High $1,122.02 | Professional | None | $501.19 | $676.08 | $1,122.02 |
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 $281.84 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $281.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $112.20 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $416.87 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $83.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $56.23 | $74.13 | $74.13 |
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· 33rd of 51
$741
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.