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 $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $380.19 | Professional | None | $346.74 | $371.54 | $380.19 |
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 $436.52 Median $537.03 Typical High $794.33 | Professional | None | $436.52 | $537.03 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $190.55 Typical High $1,659.59 | Facility | None | $134.90 | $190.55 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $380.19 Typical High $549.54 | Professional | None | $288.40 | $380.19 | $549.54 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $416.87 Typical High $2,290.87 | Facility | None | $199.53 | $416.87 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $2,754.23 Typical High $3,019.95 | Professional | None | $316.23 | $2,754.23 | $3,019.95 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $524.81 | Professional | None | $275.42 | $338.84 | $524.81 |
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 $173.78 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $173.78 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $70.79 Typical High $75.86 | Professional | 53 · Discontinued | $69.18 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $281.84 | Professional | 54 · Surgery only | $257.04 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $56.23 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $35.48 Typical High $38.02 | Professional | 56 · Pre-op care only | $34.67 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $251.19 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $239.88 | $251.19 | $263.03 |
Where Arizona sits
The same service costs 5.2 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
$380
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.