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 $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $275.42 | Professional | None | $177.83 | $229.09 | $275.42 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $398.11 | Professional | None | $144.54 | $208.93 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,318.26 Typical High $2,344.23 | Facility | None | $512.86 | $1,318.26 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $354.81 | Professional | None | $154.88 | $199.53 | $354.81 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $851.14 Typical High $5,623.41 | Facility | None | $234.42 | $851.14 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $2,344.23 | Professional | None | $194.98 | $295.12 | $2,344.23 |
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 $154.88 Median $208.93 Typical High $346.74 | Professional | None | $154.88 | $208.93 | $346.74 |
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 $89.13 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $89.13 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $44.67 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $165.96 Typical High $173.78 | Professional | 54 · Surgery only | $134.90 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $33.88 Typical High $34.67 | Professional | 55 · Aftercare only | $26.92 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $22.39 Typical High $22.91 | Professional | 56 · Pre-op care only | $17.78 | $22.39 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $154.88 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $125.89 | $154.88 | $162.18 |
Where Arizona sits
The same service costs 4.6 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· 37th of 51
$251
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.