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 $6,456.54 Typical High $10,232.93 | Facility | None | $977.24 | $6,456.54 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $776.25 | Professional | None | $724.44 | $724.44 | $776.25 |
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 $870.96 Median $870.96 Typical High $1,348.96 | Professional | None | $870.96 | $870.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,089.30 Typical High $2,691.53 | Facility | None | $630.96 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,096.48 | Professional | None | $676.08 | $812.83 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $1,071.52 Typical High $5,754.40 | Facility | None | $104.71 | $1,071.52 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $5,623.41 | Professional | None | $660.69 | $1,174.90 | $5,623.41 |
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 $630.96 Median $741.31 Typical High $1,023.29 | Professional | None | $630.96 | $741.31 | $1,023.29 |
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 $354.81 Median $354.81 Typical High $389.05 | Professional | 52 · Reduced service | $354.81 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | 53 · Discontinued | $144.54 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $575.44 | Professional | 54 · Surgery only | $537.03 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $537.03 |
Where Arizona sits
The same service costs 5.9 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· 41st of 51
$813
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.