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 $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,288.25 | Professional | None | $1,122.02 | $1,122.02 | $1,288.25 |
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 $870.96 Median $870.96 Typical High $1,071.52 | Professional | None | $870.96 | $870.96 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,691.53 | Facility | None | $758.58 | $1,445.44 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,380.38 | Professional | None | $812.83 | $1,047.13 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $3,801.89 Typical High $8,912.51 | Facility | None | $851.14 | $3,801.89 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $8,128.31 | Professional | None | $812.83 | $1,445.44 | $8,128.31 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,513.56 | Professional | None | $794.33 | $954.99 | $1,513.56 |
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 $562.34 Median $562.34 Typical High $602.56 | Professional | 52 · Reduced service | $562.34 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | 53 · Discontinued | $223.87 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | 54 · Surgery only | $851.14 | $851.14 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $851.14 |
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· 34th of 51
$1,259
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.