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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $630.96 | Professional | None | $575.44 | $575.44 | $630.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,148.15 | Professional | None | $724.44 | $724.44 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,659.59 Typical High $2,951.21 | Facility | None | $758.58 | $1,659.59 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $870.96 | Professional | None | $489.78 | $645.65 | $870.96 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,905.46 Typical High $7,943.28 | Facility | None | $630.96 | $1,905.46 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $891.25 Typical High $4,466.84 | Professional | None | $489.78 | $891.25 | $4,466.84 |
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 $457.09 Median $562.34 Typical High $794.33 | Professional | None | $457.09 | $562.34 | $794.33 |
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 $288.40 Median $288.40 Typical High $309.03 | Professional | 52 · Reduced service | $288.40 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 53 · Discontinued | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $457.09 | Professional | 54 · Surgery only | $436.52 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $426.58 |
Where Arizona sits
The same service costs 5.6 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· 38th of 51
$646
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.