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 $954.99 Median $954.99 Typical High $1,071.52 | Professional | None | $954.99 | $954.99 | $1,071.52 |
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 $776.25 Median $831.76 Typical High $1,698.24 | Professional | None | $776.25 | $831.76 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,202.26 Typical High $2,691.53 | Facility | None | $851.14 | $1,202.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,778.28 | Professional | None | $912.01 | $954.99 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,737.80 Typical High $9,549.93 | Facility | None | $776.25 | $1,737.80 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $7,585.78 | Professional | None | $933.25 | $1,380.38 | $7,585.78 |
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 $912.01 Median $1,047.13 Typical High $1,905.46 | Professional | None | $912.01 | $1,047.13 | $1,905.46 |
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 $478.63 Median $478.63 Typical High $512.86 | Professional | 52 · Reduced service | $478.63 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $776.25 | Professional | 54 · Surgery only | $724.44 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $724.44 |
Where Arizona sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 34th of 51
$1,288
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.