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 $295.12 Median $316.23 Typical High $380.19 | Professional | None | $295.12 | $316.23 | $380.19 |
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 $380.19 Median $446.68 Typical High $691.83 | Professional | None | $380.19 | $446.68 | $691.83 |
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 $263.03 Median $323.59 Typical High $478.63 | Professional | None | $263.03 | $323.59 | $478.63 |
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 $281.84 Median $2,344.23 Typical High $2,570.40 | Professional | None | $281.84 | $2,344.23 | $2,570.40 |
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 $257.04 Median $295.12 Typical High $457.09 | Professional | None | $257.04 | $295.12 | $457.09 |
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 $144.54 Median $154.88 Typical High $158.49 | Professional | 52 · Reduced service | $144.54 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $61.66 Typical High $63.10 | Professional | 53 · Discontinued | $58.88 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $234.42 Typical High $239.88 | Professional | 54 · Surgery only | $218.78 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $46.77 Typical High $47.86 | Professional | 55 · Aftercare only | $43.65 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $30.90 Typical High $31.62 | Professional | 56 · Pre-op care only | $29.51 | $30.90 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $218.78 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $204.17 | $218.78 | $223.87 |
Where Arizona sits
The same service costs 5.9 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· 43rd of 51
$324
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.