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 $263.03 Median $371.54 Typical High $398.11 | Professional | None | $263.03 | $371.54 | $398.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $707.95 | Professional | None | $323.59 | $512.86 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $389.05 Typical High $2,691.53 | Facility | None | $275.42 | $389.05 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $549.54 | Professional | None | $269.15 | $363.08 | $549.54 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,380.38 Typical High $3,801.89 | Facility | None | $389.05 | $1,380.38 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $2,137.96 Typical High $3,235.94 | Professional | None | $371.54 | $2,137.96 | $3,235.94 |
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 $257.04 Median $354.81 Typical High $537.03 | Professional | None | $257.04 | $354.81 | $537.03 |
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 $131.83 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $131.83 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $52.48 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $263.03 Typical High $295.12 | Professional | 54 · Surgery only | $199.53 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $52.48 Typical High $58.88 | Professional | 55 · Aftercare only | $39.81 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $35.48 Typical High $38.90 | Professional | 56 · Pre-op care only | $26.30 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $245.47 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $186.21 | $245.47 | $275.42 |
Where Arizona sits
The same service costs 4.7 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
$407
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.