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 $177.83 Median $234.42 Typical High $275.42 | Professional | None | $177.83 | $234.42 | $275.42 |
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 $229.09 Median $380.19 Typical High $467.74 | Professional | None | $229.09 | $380.19 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $1,659.59 | Facility | None | $257.04 | $338.84 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $346.74 | Professional | None | $169.82 | $208.93 | $346.74 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $831.76 Typical High $2,511.89 | Facility | None | $257.04 | $831.76 | $2,511.89 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $1,445.44 Typical High $2,290.87 | Professional | None | $199.53 | $1,445.44 | $2,290.87 |
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 $144.54 Median $194.98 Typical High $316.23 | Professional | None | $144.54 | $194.98 | $316.23 |
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 $89.13 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $89.13 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $35.48 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $181.97 Typical High $208.93 | Professional | 54 · Surgery only | $134.90 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $36.31 Typical High $41.69 | Professional | 55 · Aftercare only | $26.92 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $23.99 Typical High $27.54 | Professional | 56 · Pre-op care only | $17.78 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $169.82 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $125.89 | $169.82 | $194.98 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 31st of 51
$275
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.