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 $416.87 Typical High $467.74 | Professional | None | $316.23 | $416.87 | $467.74 |
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 $263.03 Median $331.13 Typical High $467.74 | Professional | None | $263.03 | $331.13 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $501.19 | Facility | None | $56.23 | $66.07 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $562.34 | Professional | None | $309.03 | $398.11 | $562.34 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $407.38 Typical High $1,659.59 | Facility | None | $199.53 | $407.38 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $2,691.53 Typical High $3,548.13 | Professional | None | $407.38 | $2,691.53 | $3,548.13 |
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 $398.11 Typical High $549.54 | Professional | None | $309.03 | $398.11 | $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 $158.49 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $63.10 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $234.42 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $46.77 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $31.62 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $288.40 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $218.78 | $288.40 | $288.40 |
Where Arizona sits
The same service costs 4.7 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
$417
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.