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 $6,309.57 Typical High $9,772.37 | Facility | None | $977.24 | $6,309.57 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $346.74 | Professional | None | $204.17 | $295.12 | $346.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,951.21 | $7,762.47 |
BCBS Arizona Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $524.81 | Professional | None | $234.42 | $436.52 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $5,248.07 | Facility | None | $1,288.25 | $1,778.28 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $407.38 | Professional | None | $190.55 | $269.15 | $407.38 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $1,548.82 Typical High $7,943.28 | Facility | None | $346.74 | $1,548.82 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $1,621.81 Typical High $2,818.38 | Professional | None | $281.84 | $1,621.81 | $2,818.38 |
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 $177.83 Median $257.04 Typical High $363.08 | Professional | None | $177.83 | $257.04 | $363.08 |
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 $102.33 Median $141.25 Typical High $169.82 | Professional | 52 · Reduced service | $102.33 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $57.54 Typical High $69.18 | Professional | 53 · Discontinued | $40.74 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $213.80 Typical High $257.04 | Professional | 54 · Surgery only | $154.88 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $42.66 Typical High $51.29 | Professional | 55 · Aftercare only | $30.90 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $28.84 Typical High $34.67 | Professional | 56 · Pre-op care only | $20.42 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $199.53 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $144.54 | $199.53 | $239.88 |
Where Arizona sits
The same service costs 3.7 times more in Wyoming 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· 32nd of 51
$331
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.