How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,202 to $13,183Professionalmedian $955 · 10th to 90th $562 to $1,514
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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,348.96 | Professional | None | $891.25 | $1,230.27 | $1,348.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $12,022.64 | Facility | None | $3,090.30 | $4,786.30 | $12,022.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $870.96 | Professional | None | $724.44 | $870.96 | $870.96 |
Christus Setting Facility Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Facility | None | $13,182.57 | $13,182.57 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $5,011.87 | Facility | None | $501.19 | $831.76 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,412.54 | Professional | None | $562.34 | $891.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,748.98 | Facility | None | $1,202.26 | $3,019.95 | $11,748.98 |
United Setting Professional Modifier None Typical Low $407.38 Median $1,000.00 Typical High $1,819.70 | Professional | None | $407.38 | $1,000.00 | $1,819.70 |
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 $537.03 Median $616.60 Typical High $660.69 | Professional | 52 · Reduced service | $537.03 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $245.47 Typical High $269.15 | Professional | 53 · Discontinued | $213.80 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $912.01 Typical High $1,000.00 | Professional | 54 · Surgery only | $794.33 | $912.01 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $181.97 Typical High $199.53 | Professional | 55 · Aftercare only | $158.49 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $123.03 Typical High $134.90 | Professional | 56 · Pre-op care only | $107.15 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $851.14 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $741.31 | $851.14 | $933.25 |
Where Louisiana sits
The same service costs 6.0 times more in Colorado than in Hawaii. 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.
Physician feeFacility fee
CO $12,924HI $2,150
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.