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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $426.58 | Professional | None | $323.59 | $426.58 | $426.58 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $467.74 | Professional | None | $269.15 | $338.84 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $1,659.59 | Facility | None | $302.00 | $389.05 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $630.96 | Professional | None | $331.13 | $436.52 | $630.96 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $1,862.09 | Facility | None | $354.81 | $602.56 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $2,754.23 Typical High $3,630.78 | Professional | None | $478.63 | $2,754.23 | $3,630.78 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $630.96 | Professional | None | $346.74 | $467.74 | $630.96 |
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 $162.18 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $162.18 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $64.57 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $245.47 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $48.98 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $32.36 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $229.09 | $295.12 | $295.12 |
Where Arizona sits
The same service costs 5.1 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· 35th of 51
$479
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.