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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | None | $588.84 | $588.84 | $645.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,621.81 Typical High $3,981.07 | Facility | None | $630.96 | $1,621.81 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $1,318.26 | Professional | None | $724.44 | $870.96 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,905.46 Typical High $3,388.44 | Facility | None | $794.33 | $1,905.46 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $954.99 | Professional | None | $537.03 | $602.56 | $954.99 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $8,912.51 | Facility | None | $660.69 | $2,691.53 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $5,128.61 | Professional | None | $537.03 | $758.58 | $5,128.61 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,884.03 Typical High $7,244.36 | Facility | None | $812.83 | $2,884.03 | $7,244.36 |
United Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $933.25 | Professional | None | $524.81 | $602.56 | $933.25 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
Where Arizona sits
The same service costs 7.4 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· 35th of 51
$724
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.