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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None | $602.56 | $602.56 | $724.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Arizona Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $1,071.52 | Professional | None | $489.78 | $524.81 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,884.03 Typical High $5,623.41 | Facility | None | $758.58 | $2,884.03 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $1,122.02 | Professional | None | $562.34 | $602.56 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,905.46 Typical High $14,454.40 | Facility | None | $660.69 | $1,905.46 | $14,454.40 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $5,370.32 | Professional | None | $588.84 | $870.96 | $5,370.32 |
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 $562.34 Median $660.69 Typical High $1,202.26 | Professional | None | $562.34 | $660.69 | $1,202.26 |
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 $302.00 Median $302.00 Typical High $323.59 | Professional | 52 · Reduced service | $302.00 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | 53 · Discontinued | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | 54 · Surgery only | $446.68 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $457.09 |
Where Arizona sits
The same service costs 5.4 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· 28th of 51
$933
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.