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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
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 $1,258.93 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,258.93 | $1,737.80 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $5,623.41 | Professional | None | $2,570.40 | $2,951.21 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $4,073.80 Typical High $8,128.31 | Facility | None | $891.25 | $4,073.80 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $3,090.30 Typical High $25,118.86 | Professional | None | $1,584.89 | $3,090.30 | $25,118.86 |
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 $1,584.89 Median $2,511.89 Typical High $4,365.16 | Professional | None | $1,584.89 | $2,511.89 | $4,365.16 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $2,691.53 | $2,691.53 | $2,691.53 |
Where Arizona sits
The same service costs 21.4 times more in Alaska than in Kentucky. 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· 36th of 51
$2,692
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.