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 $5,495.41 Typical High $8,317.64 | Facility | None | $977.24 | $5,495.41 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,380.38 | $1,380.38 |
BCBS Arizona Setting Facility Modifier None Typical Low $891.25 Median $2,089.30 Typical High $5,495.41 | Facility | None | $891.25 | $2,089.30 | $5,495.41 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $3,630.78 | Professional | None | $1,258.93 | $1,905.46 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $3,467.37 Typical High $6,309.57 | Facility | None | $977.24 | $3,467.37 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,122.02 | $1,412.54 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $3,019.95 Typical High $16,595.87 | Facility | None | $870.96 | $3,019.95 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $8,709.64 Typical High $11,220.18 | Professional | None | $1,288.25 | $8,709.64 | $11,220.18 |
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 $1,047.13 Median $1,318.26 Typical High $2,344.23 | Professional | None | $1,047.13 | $1,318.26 | $2,344.23 |
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 $549.54 Median $676.08 Typical High $691.83 | Professional | 52 · Reduced service | $549.54 | $676.08 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $269.15 Typical High $281.84 | Professional | 53 · Discontinued | $218.78 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,023.29 Typical High $1,047.13 | Professional | 54 · Surgery only | $812.83 | $1,023.29 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $204.17 Typical High $208.93 | Professional | 55 · Aftercare only | $165.96 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $134.90 Typical High $138.04 | Professional | 56 · Pre-op care only | $109.65 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $954.99 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $758.58 | $954.99 | $977.24 |
Where Arizona sits
The same service costs 5.2 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· 37th of 51
$1,585
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.