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 $32.36 Median $1,000.00 Typical High $2,041.74 | Facility | None | $32.36 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | None | $32.36 | $32.36 | $34.67 |
BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | None | $30.90 | $30.90 | $40.74 |
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 $28.18 Median $34.67 Typical High $52.48 | Professional | None | $28.18 | $34.67 | $52.48 |
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 $25.70 Median $30.90 Typical High $54.95 | Professional | None | $25.70 | $30.90 | $54.95 |
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 $15.85 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.92 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $24.55 Typical High $25.70 | Professional | 54 · Surgery only | $23.99 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.90 Typical High $5.13 | Professional | 55 · Aftercare only | $4.79 | $4.90 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.24 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.16 | $3.24 | $3.47 |
Where Arkansas sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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
$34.67
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.