How much rates vary
Facilitymedian $1,096 · 10th to 90th $427 to $2,692Professionalmedian $550 · 10th to 90th $389 to $724
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 $512.86 Median $1,513.56 Typical High $3,548.13 | Facility | None | $512.86 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $676.08 | Professional | None | $489.78 | $537.03 | $676.08 |
BCBS Louisiana Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $2,884.03 | Facility | None | $691.83 | $1,096.48 | $2,884.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $707.95 | Professional | None | $512.86 | $660.69 | $707.95 |
Christus Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $1,548.82 | Facility | None | $501.19 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $776.25 | Professional | None | $436.52 | $562.34 | $776.25 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,398.83 | Facility | None | $275.42 | $645.65 | $2,398.83 |
United Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $724.44 | Professional | None | $354.81 | $436.52 | $724.44 |
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 $245.47 Median $269.15 Typical High $338.84 | Professional | 52 · Reduced service | $245.47 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $109.65 Typical High $138.04 | Professional | 53 · Discontinued | $97.72 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $407.38 Typical High $512.86 | Professional | 54 · Surgery only | $363.08 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $81.28 Typical High $102.33 | Professional | 55 · Aftercare only | $72.44 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $53.70 Typical High $67.61 | Professional | 56 · Pre-op care only | $48.98 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $380.19 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $338.84 | $380.19 | $478.63 |
Where Louisiana sits
The same service costs 4.5 times more in Vermont than in Florida. 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
VT $4,521FL $1,007
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.