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 $1,288.25 Median $2,344.23 Typical High $6,456.54 | Facility | None | $1,288.25 | $2,344.23 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $6,456.54 Typical High $6,456.54 | Professional | None | $676.08 | $6,456.54 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $7,079.46 Typical High $10,471.29 | Facility | None | $4,897.79 | $7,079.46 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $12,022.64 | Facility | None | $2,454.71 | $4,265.80 | $12,022.64 |
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 $338.84 Median $3,235.94 Typical High $3,235.94 | Professional | 52 · Reduced service | $338.84 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $1,288.25 Typical High $1,288.25 | Professional | 53 · Discontinued | $134.90 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $4,897.79 Typical High $4,897.79 | Professional | 54 · Surgery only | $501.19 | $4,897.79 | $4,897.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $977.24 Typical High $977.24 | Professional | 55 · Aftercare only | $100.00 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $645.65 Typical High $645.65 | Professional | 56 · Pre-op care only | $67.61 | $645.65 | $645.65 |
Where Arkansas sits
The same service costs 281.8 times more in Minnesota than in Montana. 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· 43rd of 51
$5,012
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.