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 $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,047.13 | Professional | None | $912.01 | $912.01 | $1,047.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Arizona Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | None | $707.95 | $707.95 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,570.40 Typical High $4,570.88 | Facility | None | $851.14 | $2,570.40 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,096.48 | Professional | None | $660.69 | $851.14 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,905.46 Typical High $11,748.98 | Facility | None | $776.25 | $1,905.46 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $6,606.93 | Professional | None | $660.69 | $1,174.90 | $6,606.93 |
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 $645.65 Median $794.33 Typical High $1,230.27 | Professional | None | $645.65 | $794.33 | $1,230.27 |
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 $457.09 Median $457.09 Typical High $478.63 | Professional | 52 · Reduced service | $457.09 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | 53 · Discontinued | $181.97 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $724.44 | Professional | 54 · Surgery only | $676.08 | $676.08 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $676.08 |
Where Arizona sits
The same service costs 7.6 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· 29th of 51
$1,096
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.