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 $245.47 Median $275.42 Typical High $323.59 | Professional | None | $245.47 | $275.42 | $323.59 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $199.53 Typical High $524.81 | Facility | None | $85.11 | $199.53 | $524.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $588.84 | Professional | None | $331.13 | $398.11 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $281.84 | Facility | None | $66.07 | $151.36 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $398.11 | Professional | None | $213.80 | $275.42 | $398.11 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $354.81 Typical High $2,344.23 | Facility | None | $199.53 | $354.81 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $1,995.26 Typical High $2,238.72 | Professional | None | $234.42 | $1,995.26 | $2,238.72 |
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 $204.17 Median $245.47 Typical High $380.19 | Professional | None | $204.17 | $245.47 | $380.19 |
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 $123.03 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $48.98 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $190.55 Typical High $208.93 | Professional | 54 · Surgery only | $186.21 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $38.02 Typical High $41.69 | Professional | 55 · Aftercare only | $37.15 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.70 Typical High $27.54 | Professional | 56 · Pre-op care only | $24.55 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $177.83 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $173.78 | $177.83 | $194.98 |
Where Arizona sits
The same service costs 5.4 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· 42nd of 51
$275
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.