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 $575.44 Typical High $660.69 | Professional | None | $575.44 | $575.44 | $660.69 |
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 $457.09 Median $457.09 Typical High $562.34 | Professional | None | $457.09 | $457.09 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $2,570.40 | Facility | None | $512.86 | $1,445.44 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $707.95 | Professional | None | $398.11 | $537.03 | $707.95 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,905.46 Typical High $6,918.31 | Facility | None | $630.96 | $1,905.46 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $724.44 Typical High $4,168.69 | Professional | None | $398.11 | $724.44 | $4,168.69 |
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 $389.05 Median $478.63 Typical High $758.58 | Professional | None | $389.05 | $478.63 | $758.58 |
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 $288.40 Median $288.40 Typical High $309.03 | Professional | 52 · Reduced service | $288.40 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 53 · Discontinued | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $457.09 | Professional | 54 · Surgery only | $436.52 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $426.58 |
Where Arizona sits
The same service costs 8.3 times more in Wyoming than in Texas. 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· 20th of 51
$794
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.