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 $316.23 Median $389.05 Typical High $389.05 | Professional | None | $316.23 | $389.05 | $389.05 |
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 $257.04 Median $323.59 Typical High $436.52 | Professional | None | $257.04 | $323.59 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $309.03 Typical High $1,659.59 | Facility | None | $213.80 | $309.03 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $549.54 | Professional | None | $316.23 | $407.38 | $549.54 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $407.38 Typical High $2,344.23 | Facility | None | $199.53 | $407.38 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $2,691.53 Typical High $3,388.44 | Professional | None | $407.38 | $2,691.53 | $3,388.44 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $549.54 | Professional | None | $309.03 | $407.38 | $549.54 |
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 $154.88 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $154.88 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $63.10 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $234.42 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $46.77 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $30.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $275.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $218.78 | $275.42 | $275.42 |
Where Arizona sits
The same service costs 6.0 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· 39th of 51
$407
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.