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 $1,071.52 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,348.96 | $1,348.96 |
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 $1,258.93 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,819.70 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $2,691.53 | Facility | None | $645.65 | $870.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,380.38 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $2,951.21 Typical High $6,760.83 | Facility | None | $977.24 | $2,951.21 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $8,709.64 Typical High $10,964.78 | Professional | None | $1,412.54 | $8,709.64 | $10,964.78 |
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 $1,174.90 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,412.54 | $2,137.96 |
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 $537.03 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $537.03 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $213.80 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $162.18 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $107.15 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $758.58 | $933.25 | $933.25 |
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· 40th of 51
$1,445
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.