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 Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $549.54 Typical High $562.34 | Professional | None | $331.13 | $549.54 | $562.34 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $398.11 Median $758.58 Typical High $1,000.00 | Professional | None | $398.11 | $758.58 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $6,309.57 | Facility | None | $691.83 | $3,162.28 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $812.83 | Professional | None | $338.84 | $562.34 | $812.83 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $2,884.03 Typical High $16,218.10 | Facility | None | $562.34 | $2,884.03 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $2,691.53 Typical High $4,570.88 | Professional | None | $616.60 | $2,691.53 | $4,570.88 |
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 $331.13 Median $575.44 Typical High $891.25 | Professional | None | $331.13 | $575.44 | $891.25 |
6 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 $165.96 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $165.96 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $66.07 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $416.87 Typical High $426.58 | Professional | 54 · Surgery only | $251.19 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $83.18 Typical High $85.11 | Professional | 55 · Aftercare only | $50.12 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $54.95 Typical High $56.23 | Professional | 56 · Pre-op care only | $33.11 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $389.05 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $234.42 | $389.05 | $398.11 |
Where Arizona sits
The same service costs 4.9 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· 27th of 51
$646
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.