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 $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $602.56 | Professional | None | $446.68 | $588.84 | $602.56 |
BCBS Arizona Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,071.52 | Professional | None | $549.54 | $776.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,905.46 Typical High $3,388.44 | Facility | None | $851.14 | $1,905.46 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $870.96 | Professional | None | $457.09 | $616.60 | $870.96 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,621.81 Typical High $8,912.51 | Facility | None | $602.56 | $1,621.81 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $3,715.35 Typical High $4,897.79 | Professional | None | $588.84 | $3,715.35 | $4,897.79 |
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 $446.68 Median $588.84 Typical High $870.96 | Professional | None | $446.68 | $588.84 | $870.96 |
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 $223.87 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $223.87 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $112.20 Typical High $120.23 | Professional | 53 · Discontinued | $89.13 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $416.87 Typical High $446.68 | Professional | 54 · Surgery only | $331.13 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $83.18 Typical High $89.13 | Professional | 55 · Aftercare only | $67.61 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $56.23 Typical High $60.26 | Professional | 56 · Pre-op care only | $44.67 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $389.05 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $309.03 | $389.05 | $416.87 |
Where Arizona sits
The same service costs 5.8 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· 38th of 51
$646
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.