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 $288.40 Median $309.03 Typical High $371.54 | Professional | None | $288.40 | $309.03 | $371.54 |
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 $371.54 Median $446.68 Typical High $676.08 | Professional | None | $371.54 | $446.68 | $676.08 |
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 $257.04 Median $316.23 Typical High $467.74 | Professional | None | $257.04 | $316.23 | $467.74 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $398.11 Typical High $2,041.74 | Facility | None | $199.53 | $398.11 | $2,041.74 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $2,290.87 Typical High $2,511.89 | Professional | None | $275.42 | $2,290.87 | $2,511.89 |
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 $245.47 Median $281.84 Typical High $446.68 | Professional | None | $245.47 | $281.84 | $446.68 |
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 $141.25 Median $151.36 Typical High $154.88 | Professional | 52 · Reduced service | $141.25 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $57.54 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $223.87 Typical High $234.42 | Professional | 54 · Surgery only | $213.80 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $44.67 Typical High $46.77 | Professional | 55 · Aftercare only | $42.66 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $208.93 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $199.53 | $208.93 | $218.78 |
Where Arizona sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 44th of 51
$316
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.