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 $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $467.74 | Professional | None | $309.03 | $398.11 | $467.74 |
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 $239.88 Median $426.58 Typical High $478.63 | Professional | None | $239.88 | $426.58 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,801.89 | Facility | None | $954.99 | $1,318.26 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $549.54 | Professional | None | $257.04 | $380.19 | $549.54 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,621.81 Typical High $5,754.40 | Facility | None | $436.52 | $1,621.81 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $2,187.76 Typical High $3,388.44 | Professional | None | $389.05 | $2,187.76 | $3,388.44 |
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 $234.42 Median $380.19 Typical High $549.54 | Professional | None | $234.42 | $380.19 | $549.54 |
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 $154.88 Median $199.53 Typical High $234.42 | Professional | 52 · Reduced service | $154.88 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $61.66 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $295.12 Typical High $346.74 | Professional | 54 · Surgery only | $229.09 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $58.88 Typical High $70.79 | Professional | 55 · Aftercare only | $45.71 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $39.81 Typical High $46.77 | Professional | 56 · Pre-op care only | $30.90 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $213.80 | $275.42 | $323.59 |
Where Arizona sits
The same service costs 5.5 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· 25th of 51
$501
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.