How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,072 to $16,218Professionalmedian $3,236 · 10th to 90th $2,291 to $4,266
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 $724.44 Median $2,691.53 Typical High $4,365.16 | Facility | None | $724.44 | $2,691.53 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,235.94 Typical High $4,168.69 | Professional | None | $3,162.28 | $3,235.94 | $4,168.69 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,365.16 Median $5,011.87 Typical High $21,877.62 | Facility | None | $4,365.16 | $5,011.87 | $21,877.62 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,162.28 | $3,981.07 | $3,981.07 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $5,888.44 | Facility | None | $524.81 | $1,174.90 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,311.31 Typical High $4,265.80 | Professional | None | $2,398.83 | $3,311.31 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,890.45 | $12,589.25 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $4,677.35 | Professional | None | $2,187.76 | $2,570.40 | $4,677.35 |
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 $1,584.89 Median $1,621.81 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,584.89 | $1,621.81 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $660.69 Typical High $831.76 | Professional | 53 · Discontinued | $630.96 | $660.69 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,454.71 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,344.23 | $2,454.71 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $489.78 Typical High $630.96 | Professional | 55 · Aftercare only | $467.74 | $489.78 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $323.59 Typical High $416.87 | Professional | 56 · Pre-op care only | $316.23 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,290.87 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,290.87 | $2,884.03 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska 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.
Physician feeFacility fee
AK $19,772TX $4,915
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.