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 $512.86 Median $616.60 Typical High $676.08 | Professional | None | $512.86 | $616.60 | $676.08 |
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 $354.81 Median $524.81 Typical High $1,000.00 | Professional | None | $354.81 | $524.81 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,311.31 Typical High $6,309.57 | Facility | None | $851.14 | $3,311.31 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $977.24 | Professional | None | $457.09 | $602.56 | $977.24 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $3,019.95 Typical High $16,595.87 | Facility | None | $645.65 | $3,019.95 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $3,467.37 Typical High $4,570.88 | Professional | None | $562.34 | $3,467.37 | $4,570.88 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $977.24 | Professional | None | $446.68 | $588.84 | $977.24 |
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 $257.04 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $257.04 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $117.49 Typical High $134.90 | Professional | 53 · Discontinued | $104.71 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $436.52 Typical High $512.86 | Professional | 54 · Surgery only | $389.05 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $87.10 Typical High $102.33 | Professional | 55 · Aftercare only | $77.62 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $58.88 Typical High $67.61 | Professional | 56 · Pre-op care only | $51.29 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $407.38 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $363.08 | $407.38 | $478.63 |
Where Arizona sits
The same service costs 5.0 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· 30th of 51
$741
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.