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 Professional Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,584.89 | $1,949.84 | $1,949.84 |
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 $1,862.09 Median $2,630.27 Typical High $3,630.78 | Professional | None | $1,862.09 | $2,630.27 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $2,691.53 | Facility | None | $851.14 | $1,174.90 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,659.59 | $1,995.26 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $3,090.30 Typical High $8,511.38 | Facility | None | $977.24 | $3,090.30 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $13,182.57 Typical High $15,848.93 | Professional | None | $2,089.30 | $13,182.57 | $15,848.93 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $3,162.28 | Professional | None | $1,778.28 | $2,089.30 | $3,162.28 |
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 $794.33 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $794.33 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $316.23 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $239.88 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $158.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,380.38 | $1,380.38 |
Where Arizona sits
The same service costs 5.5 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· 41st of 51
$2,138
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.