How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,202 to $14,791Professionalmedian $1,660 · 10th to 90th $1,202 to $2,239
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 $676.08 Median $2,454.71 Typical High $4,365.16 | Facility | None | $676.08 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,621.81 | $1,659.59 | $2,238.72 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,466.84 Median $6,165.95 Typical High $16,595.87 | Facility | None | $4,466.84 | $6,165.95 | $16,595.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,621.81 | $2,089.30 | $2,089.30 |
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 $707.95 Median $1,513.56 Typical High $5,888.44 | Facility | None | $707.95 | $1,513.56 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,258.93 | $1,698.24 | $2,238.72 |
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 $1,148.15 Median $1,380.38 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,380.38 | $2,344.23 |
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 $794.33 Median $831.76 Typical High $1,071.52 | Professional | 52 · Reduced service | $794.33 | $831.76 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $331.13 Typical High $426.58 | Professional | 53 · Discontinued | $323.59 | $331.13 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,258.93 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,202.26 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $251.19 Typical High $316.23 | Professional | 55 · Aftercare only | $239.88 | $251.19 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $165.96 Typical High $213.80 | Professional | 56 · Pre-op care only | $162.18 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,174.90 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,174.90 | $1,479.11 |
Where Louisiana sits
The same service costs 4.0 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 $14,661HI $3,664
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.