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 $416.87 Median $1,202.26 Typical High $1,479.11 | Professional | None | $416.87 | $1,202.26 | $1,479.11 |
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 $371.54 Median $1,348.96 Typical High $1,905.46 | Professional | None | $371.54 | $1,348.96 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,905.46 Typical High $3,311.31 | Facility | None | $831.76 | $1,905.46 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $1,023.29 Typical High $1,548.82 | Professional | None | $371.54 | $1,023.29 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $2,137.96 Typical High $7,244.36 | Facility | None | $562.34 | $2,137.96 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $5,754.40 Typical High $8,912.51 | Professional | None | $1,174.90 | $5,754.40 | $8,912.51 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None Typical Low $346.74 Median $954.99 Typical High $1,698.24 | Professional | None | $346.74 | $954.99 | $1,698.24 |
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 $208.93 Median $257.04 Typical High $645.65 | Professional | 52 · Reduced service | $208.93 | $257.04 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $102.33 Typical High $257.04 | Professional | 53 · Discontinued | $85.11 | $102.33 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $389.05 Typical High $977.24 | Professional | 54 · Surgery only | $316.23 | $389.05 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $77.62 Typical High $194.98 | Professional | 55 · Aftercare only | $63.10 | $77.62 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $51.29 Typical High $128.82 | Professional | 56 · Pre-op care only | $41.69 | $51.29 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $363.08 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $295.12 | $363.08 | $912.01 |
Where Arizona sits
The same service costs 4.4 times more in Alaska than in Nebraska. 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· 29th of 51
$1,349
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.