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 $977.24 Median $3,715.35 Typical High $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $234.42 | Professional | None | $154.88 | $234.42 | $234.42 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $288.40 | Professional | None | $147.91 | $199.53 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $389.05 | Facility | None | $66.07 | $208.93 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $331.13 | Professional | None | $173.78 | $234.42 | $331.13 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $831.76 Typical High $2,511.89 | Facility | None | $257.04 | $831.76 | $2,511.89 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $1,412.54 Typical High $2,137.96 | Professional | None | $234.42 | $1,412.54 | $2,137.96 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $331.13 | Professional | None | $169.82 | $223.87 | $331.13 |
6 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 $75.86 Median $114.82 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $45.71 Typical High $46.77 | Professional | 53 · Discontinued | $30.90 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $169.82 Typical High $173.78 | Professional | 54 · Surgery only | $114.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $22.91 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $22.91 Typical High $23.44 | Professional | 56 · Pre-op care only | $15.49 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $158.49 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $107.15 | $158.49 | $162.18 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Texas. 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.
Arizona· 34th of 51
$282
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.