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 $6,309.57 Typical High $9,772.37 | Facility | None | $977.24 | $6,309.57 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,412.54 Typical High $1,445.44 | Professional | None | $676.08 | $1,412.54 | $1,445.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $812.83 Median $1,995.26 Typical High $2,570.40 | Professional | None | $812.83 | $1,995.26 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $3,467.37 Typical High $6,309.57 | Facility | None | $1,348.96 | $3,467.37 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,380.38 Typical High $1,949.84 | Professional | None | $691.83 | $1,380.38 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $3,019.95 Typical High $21,379.62 | Facility | None | $831.76 | $3,019.95 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $6,165.95 Typical High $12,022.64 | Professional | None | $1,479.11 | $6,165.95 | $12,022.64 |
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 $691.83 Median $1,380.38 Typical High $1,949.84 | Professional | None | $691.83 | $1,380.38 | $1,949.84 |
7 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 $338.84 Median $676.08 Typical High $724.44 | Professional | 52 · Reduced service | $338.84 | $676.08 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $275.42 Typical High $295.12 | Professional | 53 · Discontinued | $134.90 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $1,023.29 Typical High $1,096.48 | Professional | 54 · Surgery only | $512.86 | $1,023.29 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $204.17 Typical High $218.78 | Professional | 55 · Aftercare only | $102.33 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $134.90 Typical High $144.54 | Professional | 56 · Pre-op care only | $67.61 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $954.99 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $478.63 | $954.99 | $1,023.29 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | GC · Resident with teaching physician | $478.63 | $478.63 | $478.63 |
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· 25th of 51
$1,549
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.