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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Professional | None | $371.54 | $371.54 | $407.38 |
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 $436.52 Median $436.52 Typical High $676.08 | Professional | None | $436.52 | $436.52 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,691.53 | Facility | None | $602.56 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $524.81 | Professional | None | $346.74 | $380.19 | $524.81 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $812.83 Typical High $4,365.16 | Facility | None | $102.33 | $812.83 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $16,218.10 | Professional | None | $302.00 | $407.38 | $16,218.10 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $457.09 | Professional | None | $288.40 | $331.13 | $457.09 |
4 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 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 54 · Surgery only | $275.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $38.02 |
Ambetter Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $47.86 | $47.86 | $47.86 |
Where Arizona sits
The same service costs 15.1 times more in New York than in Hawaii. 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· 43rd of 51
$380
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.