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 $288.40 Median $416.87 Typical High $478.63 | Professional | None | $288.40 | $416.87 | $478.63 |
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 $354.81 Median $549.54 Typical High $741.31 | Professional | None | $354.81 | $549.54 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $870.96 Typical High $2,187.76 | Facility | None | $630.96 | $870.96 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $602.56 | Professional | None | $295.12 | $398.11 | $602.56 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $933.25 Typical High $3,981.07 | Facility | None | $416.87 | $933.25 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $2,344.23 Typical High $3,388.44 | Professional | None | $398.11 | $2,344.23 | $3,388.44 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $575.44 | Professional | None | $281.84 | $389.05 | $575.44 |
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 $194.98 Typical High $204.17 | Professional | 52 · Reduced service | $144.54 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $77.62 Typical High $83.18 | Professional | 53 · Discontinued | $57.54 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $288.40 Typical High $309.03 | Professional | 54 · Surgery only | $213.80 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $57.54 Typical High $61.66 | Professional | 55 · Aftercare only | $42.66 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $38.90 Typical High $41.69 | Professional | 56 · Pre-op care only | $28.84 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $269.15 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $199.53 | $269.15 | $288.40 |
Where Arizona sits
The same service costs 4.9 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· 35th of 51
$447
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.