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 $575.44 Median $707.95 Typical High $851.14 | Professional | None | $575.44 | $707.95 | $851.14 |
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 $489.78 Median $645.65 Typical High $724.44 | Professional | None | $489.78 | $645.65 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $660.69 Typical High $1,659.59 | Facility | None | $457.09 | $660.69 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $851.14 | Professional | None | $478.63 | $602.56 | $851.14 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $954.99 Typical High $4,265.80 | Facility | None | $512.86 | $954.99 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $4,466.84 Typical High $5,128.61 | Professional | None | $537.03 | $4,466.84 | $5,128.61 |
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 $467.74 Median $588.84 Typical High $870.96 | Professional | None | $467.74 | $588.84 | $870.96 |
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 $316.23 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $316.23 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $125.89 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $467.74 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $93.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $63.10 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $436.52 | $501.19 | $501.19 |
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· 37th of 51
$676
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.