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 $346.74 Median $489.78 Typical High $489.78 | Professional | None | $346.74 | $489.78 | $489.78 |
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 $398.11 Median $512.86 Typical High $741.31 | Professional | None | $398.11 | $512.86 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,698.24 Typical High $3,019.95 | Facility | None | $691.83 | $1,698.24 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $602.56 | Professional | None | $323.59 | $436.52 | $602.56 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $7,943.28 | Facility | None | $446.68 | $954.99 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $3,019.95 Typical High $3,981.07 | Professional | None | $436.52 | $3,019.95 | $3,981.07 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $630.96 | Professional | None | $316.23 | $426.58 | $630.96 |
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 $173.78 Median $239.88 Typical High $245.47 | Professional | 52 · Reduced service | $173.78 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $69.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $257.04 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $52.48 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $34.67 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $239.88 | $338.84 | $338.84 |
Where Arizona sits
The same service costs 4.4 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
$550
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.