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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $123.03 | Professional | None | $72.44 | $95.50 | $123.03 |
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 $87.10 Median $125.89 Typical High $173.78 | Professional | None | $87.10 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $1,659.59 | Facility | None | $61.66 | $87.10 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $147.91 | Professional | None | $75.86 | $100.00 | $147.91 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $323.59 Typical High $2,344.23 | Facility | None | $95.50 | $323.59 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $616.60 Typical High $1,023.29 | Professional | None | $95.50 | $616.60 | $1,023.29 |
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 $72.44 Median $95.50 Typical High $144.54 | Professional | None | $72.44 | $95.50 | $144.54 |
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 $36.31 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $36.31 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $14.45 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $70.79 Typical High $70.79 | Professional | 54 · Surgery only | $53.70 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $10.96 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.24 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $50.12 Median $66.07 Typical High $66.07 | Professional | 78 · Unplanned return to OR | $50.12 | $66.07 | $66.07 |
Where Arizona sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 38th of 51
$110
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.