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 $162.18 Median $208.93 Typical High $218.78 | Professional | None | $162.18 | $208.93 | $218.78 |
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 $194.98 Median $281.84 Typical High $537.03 | Professional | None | $194.98 | $281.84 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $3,548.13 | Facility | None | $512.86 | $1,819.70 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $346.74 | Professional | None | $165.96 | $218.78 | $346.74 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $1,445.44 Typical High $9,549.93 | Facility | None | $234.42 | $1,445.44 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $3,162.28 | Professional | None | $181.97 | $288.40 | $3,162.28 |
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 $162.18 Median $194.98 Typical High $371.54 | Professional | None | $162.18 | $194.98 | $371.54 |
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 $81.28 Median $100.00 Typical High $107.15 | Professional | 52 · Reduced service | $81.28 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $39.81 Typical High $42.66 | Professional | 53 · Discontinued | $32.36 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $147.91 Typical High $162.18 | Professional | 54 · Surgery only | $123.03 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $29.51 Typical High $32.36 | Professional | 55 · Aftercare only | $24.55 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $19.95 Typical High $21.38 | Professional | 56 · Pre-op care only | $16.22 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $138.04 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $114.82 | $138.04 | $151.36 |
Where Arizona sits
The same service costs 4.4 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· 30th of 51
$282
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.