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 $4,677.35 Typical High $17,782.79 | Facility | None | $977.24 | $4,677.35 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,174.90 | $1,174.90 | $1,288.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,412.54 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,290.87 Typical High $2,691.53 | Facility | None | $602.56 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,348.96 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $3,235.94 Typical High $17,782.79 | Facility | None | $891.25 | $3,235.94 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,905.46 Typical High $11,748.98 | Professional | None | $1,096.48 | $1,905.46 | $11,748.98 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $16,218.10 | Facility | None | $977.24 | $4,168.69 | $16,218.10 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,230.27 | $1,698.24 |
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 $588.84 Median $588.84 Typical High $630.96 | Professional | 52 · Reduced service | $588.84 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | 53 · Discontinued | $234.42 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $954.99 | Professional | 54 · Surgery only | $891.25 | $891.25 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $190.55 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $891.25 |
Where Arizona sits
The same service costs 26.3 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· 36th of 51
$1,349
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.