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 $645.65 Median $645.65 Typical High $741.31 | Professional | None | $645.65 | $645.65 | $741.31 |
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 $501.19 Median $501.19 Typical High $616.60 | Professional | None | $501.19 | $501.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $3,311.31 | Facility | None | $851.14 | $1,258.93 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $933.25 | Professional | None | $426.58 | $602.56 | $933.25 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $5,754.40 | Facility | None | $371.54 | $724.44 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $5,495.41 | Professional | None | $446.68 | $851.14 | $5,495.41 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $870.96 | Professional | None | $416.87 | $562.34 | $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 $323.59 Median $323.59 Typical High $346.74 | Professional | 52 · Reduced service | $323.59 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | 53 · Discontinued | $128.82 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $524.81 | Professional | 54 · Surgery only | $489.78 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $489.78 |
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
$776
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.