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 $1,174.90 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,174.90 | $1,445.44 | $1,445.44 |
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 $1,380.38 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,380.38 | $1,949.84 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $2,691.53 | Facility | None | $660.69 | $870.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,479.11 | $2,344.23 |
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 $1,513.56 Median $9,549.93 Typical High $11,748.98 | Professional | None | $1,513.56 | $9,549.93 | $11,748.98 |
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 $1,288.25 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,288.25 | $1,584.89 | $2,344.23 |
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 $588.84 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $588.84 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $234.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $177.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $831.76 | $1,023.29 | $1,023.29 |
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
$1,585
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.