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 $645.65 Median $1,819.70 Typical High $6,309.57 | Facility | None | $645.65 | $1,819.70 | $6,309.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $524.81 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $489.78 Typical High $489.78 | Professional | 26 · Professional part | $398.11 | $489.78 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $125.89 | $151.36 | $151.36 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $562.34 | Professional | 26 · Professional part | $426.58 | $426.58 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $870.96 Typical High $1,174.90 | Professional | None (both parts) | $575.44 | $870.96 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $660.69 Typical High $912.01 | Professional | 26 · Professional part | $436.52 | $660.69 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $141.25 | $208.93 | $275.42 |
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 (both parts) Typical Low $676.08 Median $831.76 Typical High $1,995.26 | Professional | None (both parts) | $676.08 | $831.76 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $512.86 Typical High $831.76 | Professional | 26 · Professional part | $363.08 | $512.86 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $912.01 | Professional | TC · Technical part | $269.15 | $380.19 | $912.01 |
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 $263.03 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $263.03 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $389.05 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $52.48 | $64.57 | $64.57 |
Where Arkansas sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 44th of 51
$646
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.