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 $426.58 Median $426.58 Typical High $524.81 | Professional | None | $426.58 | $426.58 | $524.81 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $1,096.48 | Professional | None | $489.78 | $524.81 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $2,570.40 | Facility | None | $691.83 | $1,445.44 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $870.96 | Professional | None | $407.38 | $512.86 | $870.96 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,905.46 Typical High $6,760.83 | Facility | None | $537.03 | $1,905.46 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $3,630.78 | Professional | None | $416.87 | $645.65 | $3,630.78 |
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 $398.11 Median $478.63 Typical High $912.01 | Professional | None | $398.11 | $478.63 | $912.01 |
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 $213.80 Median $213.80 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $91.20 | Professional | 53 · Discontinued | $85.11 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | 54 · Surgery only | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $316.23 |
Where Arizona sits
The same service costs 5.5 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· 23rd of 51
$776
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.