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 $436.52 Median $602.56 Typical High $602.56 | Professional | None | $436.52 | $602.56 | $602.56 |
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 $380.19 Median $575.44 Typical High $1,096.48 | Professional | None | $380.19 | $575.44 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,698.24 Typical High $3,019.95 | Facility | None | $758.58 | $1,698.24 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $977.24 | Professional | None | $446.68 | $616.60 | $977.24 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,621.81 Typical High $7,943.28 | Facility | None | $602.56 | $1,621.81 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $4,466.84 Typical High $4,897.79 | Professional | None | $575.44 | $4,466.84 | $4,897.79 |
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 $436.52 Median $588.84 Typical High $977.24 | Professional | None | $436.52 | $588.84 | $977.24 |
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 $218.78 Median $281.84 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $112.20 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $331.13 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $66.07 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $56.23 Typical High $60.26 | Professional | 56 · Pre-op care only | $43.65 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $398.11 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $309.03 | $398.11 | $416.87 |
Where Arizona sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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
$724
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.