How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,479 to $10,471Professionalmedian $1,023 · 10th to 90th $741 to $1,380
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 $891.25 Median $2,884.03 Typical High $5,370.32 | Facility | None | $891.25 | $2,884.03 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,380.38 | Professional | None | $977.24 | $1,023.29 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $11,481.54 | Facility | None | $3,311.31 | $5,011.87 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,000.00 | $1,288.25 | $1,288.25 |
Christus Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,862.09 Typical High $5,248.07 | Facility | None | $933.25 | $1,862.09 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,380.38 | Professional | None | $776.25 | $1,047.13 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,412.54 | Professional | None | $691.83 | $851.14 | $1,412.54 |
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 $489.78 Median $512.86 Typical High $645.65 | Professional | 52 · Reduced service | $489.78 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $204.17 Typical High $257.04 | Professional | 53 · Discontinued | $194.98 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $758.58 Typical High $977.24 | Professional | 54 · Surgery only | $741.31 | $758.58 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $151.36 Typical High $194.98 | Professional | 55 · Aftercare only | $147.91 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $102.33 Typical High $128.82 | Professional | 56 · Pre-op care only | $97.72 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $707.95 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $691.83 | $707.95 | $912.01 |
Where Louisiana sits
The same service costs 4.9 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.
Physician feeFacility fee
AK $10,315KY $2,095
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.