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 $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,023.29 | $1,122.02 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,949.84 | Professional | None | $1,258.93 | $1,258.93 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,659.59 Typical High $2,951.21 | Facility | None | $691.83 | $1,659.59 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,548.82 | Professional | None | $912.01 | $1,148.15 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $2,754.23 Typical High $7,943.28 | Facility | None | $676.08 | $2,754.23 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,621.81 Typical High $8,128.31 | Professional | None | $912.01 | $1,621.81 | $8,128.31 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,951.21 Typical High $7,244.36 | Facility | None | $812.83 | $2,951.21 | $7,244.36 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,445.44 | Professional | None | $851.14 | $1,047.13 | $1,445.44 |
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 $512.86 Median $512.86 Typical High $549.54 | Professional | 52 · Reduced service | $512.86 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $218.78 | Professional | 53 · Discontinued | $204.17 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $812.83 | Professional | 54 · Surgery only | $758.58 | $758.58 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $758.58 |
Where Arizona sits
The same service costs 5.2 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· 39th of 51
$1,148
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.