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 $741.31 Median $741.31 Typical High $933.25 | Professional | None | $741.31 | $741.31 | $933.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,348.96 | Professional | None | $602.56 | $645.65 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $18,620.87 Typical High $36,307.81 | Facility | None | $691.83 | $18,620.87 | $36,307.81 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,412.54 | Professional | None | $707.95 | $741.31 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $6,918.31 Typical High $16,218.10 | Facility | None | $831.76 | $6,918.31 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $7,079.46 | Professional | None | $724.44 | $1,023.29 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $7,943.28 Typical High $12,302.69 | Facility | None | $1,174.90 | $7,943.28 | $12,302.69 |
United Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,479.11 | Professional | None | $707.95 | $831.76 | $1,479.11 |
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 $371.54 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $371.54 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $151.36 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | 54 · Surgery only | $562.34 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $562.34 |
Where Arizona sits
The same service costs 6.8 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· 33rd of 51
$1,096
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.