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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $331.13 | Professional | None | $218.78 | $316.23 | $331.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $588.84 | Professional | None | $269.15 | $426.58 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,905.46 Typical High $3,388.44 | Facility | None | $691.83 | $1,905.46 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $478.63 | Professional | None | $218.78 | $323.59 | $478.63 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $1,445.44 Typical High $8,912.51 | Facility | None | $354.81 | $1,445.44 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $1,778.28 Typical High $2,754.23 | Professional | None | $331.13 | $1,778.28 | $2,754.23 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $457.09 | Professional | None | $213.80 | $323.59 | $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 $107.15 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $107.15 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $63.10 Typical High $66.07 | Professional | 53 · Discontinued | $43.65 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $239.88 Typical High $245.47 | Professional | 54 · Surgery only | $162.18 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $47.86 Typical High $48.98 | Professional | 55 · Aftercare only | $32.36 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $31.62 Typical High $33.11 | Professional | 56 · Pre-op care only | $21.88 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $223.87 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $151.36 | $223.87 | $229.09 |
Where Arizona sits
The same service costs 5.5 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· 34th of 51
$355
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.