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 $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | None | $416.87 | $416.87 | $457.09 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $794.33 | Professional | None | $512.86 | $512.86 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $3,019.95 | Facility | None | $512.86 | $1,659.59 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $630.96 | Professional | None | $389.05 | $446.68 | $630.96 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $7,943.28 | Facility | None | $467.74 | $954.99 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $3,388.44 | Professional | None | $371.54 | $645.65 | $3,388.44 |
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 $363.08 Median $416.87 Typical High $575.44 | Professional | None | $363.08 | $416.87 | $575.44 |
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 $208.93 Typical High $223.87 | Professional | 52 · Reduced service | $208.93 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $338.84 | Professional | 54 · Surgery only | $316.23 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $316.23 |
Where Arizona sits
The same service costs 6.2 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· 40th of 51
$447
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.