How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,023 to $6,918Professionalmedian $741 · 10th to 90th $525 to $977
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 $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $977.24 | Professional | None | $691.83 | $724.44 | $977.24 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,819.70 Median $2,691.53 Typical High $6,918.31 | Facility | None | $1,819.70 | $2,691.53 | $6,918.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $912.01 | Professional | None | $707.95 | $912.01 | $912.01 |
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 $1,071.52 Typical High $2,691.53 | Facility | None | $524.81 | $1,071.52 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $977.24 | Professional | None | $549.54 | $741.31 | $977.24 |
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 $489.78 Median $645.65 Typical High $1,202.26 | Professional | None | $489.78 | $645.65 | $1,202.26 |
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 $346.74 Median $363.08 Typical High $457.09 | Professional | 52 · Reduced service | $346.74 | $363.08 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $144.54 Typical High $181.97 | Professional | 53 · Discontinued | $138.04 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $537.03 Typical High $691.83 | Professional | 54 · Surgery only | $524.81 | $537.03 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $107.15 Typical High $138.04 | Professional | 55 · Aftercare only | $104.71 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $91.20 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $501.19 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $489.78 | $501.19 | $645.65 |
Where Louisiana sits
The same service costs 4.1 times more in Oklahoma than in Montana. 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
OK $7,594MT $1,845
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.