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 $213.80 Median $1,230.27 Typical High $2,137.96 | Professional | None | $213.80 | $1,230.27 | $2,137.96 |
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 $169.82 Median $1,202.26 Typical High $3,311.31 | Professional | None | $169.82 | $1,202.26 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,202.26 Typical High $5,248.07 | Facility | None | $912.01 | $1,202.26 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $1,348.96 Typical High $2,754.23 | Professional | None | $199.53 | $1,348.96 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $954.99 Typical High $4,168.69 | Facility | None | $380.19 | $954.99 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $8,709.64 Typical High $17,378.01 | Professional | None | $1,513.56 | $8,709.64 | $17,378.01 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $218.78 Median $1,023.29 Typical High $2,818.38 | Professional | None | $218.78 | $1,023.29 | $2,818.38 |
2 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 54 · Surgery only Typical Low $158.49 Median $275.42 Typical High $1,584.89 | Professional | 54 · Surgery only | $158.49 | $275.42 | $1,584.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $257.04 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $147.91 | $257.04 | $1,479.11 |
Where Arizona sits
The same service costs 7.1 times more in Oregon 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· 28th of 51
$1,585
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.