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 $1,202.26 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,202.26 | $1,548.82 | $1,548.82 |
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 $1,412.54 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,412.54 | $2,089.30 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,000.00 Typical High $2,691.53 | Facility | None | $741.31 | $1,000.00 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,258.93 | $1,584.89 | $2,454.71 |
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 $1,621.81 Median $10,000.00 Typical High $12,302.69 | Professional | None | $1,621.81 | $10,000.00 | $12,302.69 |
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 $1,348.96 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,348.96 | $1,621.81 | $2,398.83 |
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 $602.56 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $602.56 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $239.88 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $120.23 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $851.14 | $1,071.52 | $1,071.52 |
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
$1,660
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.