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 $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Professional | None | $891.25 | $891.25 | $977.24 |
BCBS Arizona Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,071.52 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $4,466.84 Typical High $7,585.78 | Facility | None | $2,041.74 | $4,466.84 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,479.11 | Professional | None | $831.76 | $933.25 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $3,467.37 Typical High $8,128.31 | Facility | None | $891.25 | $3,467.37 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $7,244.36 | Professional | None | $831.76 | $1,047.13 | $7,244.36 |
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 $812.83 Median $912.01 Typical High $1,479.11 | Professional | None | $812.83 | $912.01 | $1,479.11 |
2 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 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Where Arizona sits
The same service costs 7.6 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· 39th of 51
$1,047
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.