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 $575.44 Median $758.58 Typical High $758.58 | Professional | None | $575.44 | $758.58 | $758.58 |
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 $645.65 Median $1,000.00 Typical High $1,905.46 | Professional | None | $645.65 | $1,000.00 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,162.28 Typical High $6,309.57 | Facility | None | $758.58 | $3,162.28 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,318.26 | Professional | None | $645.65 | $831.76 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,621.81 Typical High $16,595.87 | Facility | None | $645.65 | $1,621.81 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $5,011.87 Typical High $6,918.31 | Professional | None | $758.58 | $5,011.87 | $6,918.31 |
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 $602.56 Median $776.25 Typical High $1,380.38 | Professional | None | $602.56 | $776.25 | $1,380.38 |
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 $288.40 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $288.40 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $114.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $426.58 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $85.11 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $57.54 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $398.11 | $537.03 | $537.03 |
Where Arizona sits
The same service costs 5.2 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· 36th of 51
$955
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.