How much rates vary
Facilitymedian $2,042 · 10th to 90th $977 to $7,079Professionalmedian $1,585 · 10th to 90th $933 to $2,188
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 $1,548.82 Typical High $3,715.35 | Facility | None | $537.03 | $1,548.82 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $2,238.72 | Professional | None | $1,584.89 | $1,621.81 | $2,238.72 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $6,918.31 | Facility | None | $1,819.70 | $2,818.38 | $6,918.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,584.89 | $2,041.74 | $2,041.74 |
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 $501.19 Median $831.76 Typical High $2,630.27 | Facility | None | $501.19 | $831.76 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,659.59 Typical High $2,187.76 | Professional | None | $933.25 | $1,659.59 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,230.27 Typical High $2,290.87 | Professional | None | $645.65 | $1,230.27 | $2,290.87 |
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 $812.83 Typical High $1,047.13 | Professional | 52 · Reduced service | $794.33 | $812.83 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $331.13 Typical High $416.87 | Professional | 53 · Discontinued | $316.23 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,230.27 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,174.90 | $1,230.27 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $245.47 Typical High $316.23 | Professional | 55 · Aftercare only | $234.42 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $162.18 Typical High $208.93 | Professional | 56 · Pre-op care only | $158.49 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,148.15 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,148.15 | $1,445.44 |
Where Louisiana sits
The same service costs 3.7 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 $9,494KY $2,537
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.