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 $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $660.69 | Professional | None | $575.44 | $575.44 | $660.69 |
BCBS Arizona Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,096.48 | Professional | None | $707.95 | $707.95 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,995.26 Typical High $3,630.78 | Facility | None | $851.14 | $1,995.26 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $870.96 | Professional | None | $512.86 | $645.65 | $870.96 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $2,754.23 Typical High $9,549.93 | Facility | None | $645.65 | $2,754.23 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $5,128.61 | Professional | None | $512.86 | $912.01 | $5,128.61 |
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 $489.78 Median $575.44 Typical High $812.83 | Professional | None | $489.78 | $575.44 | $812.83 |
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 $426.58 Median $426.58 Typical High $457.09 | Professional | 54 · Surgery only | $426.58 | $426.58 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $91.20 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $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 $398.11 Median $398.11 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $426.58 |
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· 40th 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.