How much rates vary
Facilitymedian $380 · 10th to 90th $145 to $1,202Professionalmedian $631 · 10th to 90th $447 to $813
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 $478.63 Median $1,258.93 Typical High $3,467.37 | Facility | None | $478.63 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $776.25 | Professional | None | $562.34 | $616.60 | $776.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $281.84 Typical High $870.96 | Facility | None | $144.54 | $281.84 | $870.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $812.83 | Professional | None | $588.84 | $758.58 | $812.83 |
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 $147.91 Median $331.13 Typical High $676.08 | Facility | None | $147.91 | $331.13 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $870.96 | Professional | None | $501.19 | $645.65 | $870.96 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,202.26 | Facility | None | $91.20 | $363.08 | $1,202.26 |
United Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $831.76 | Professional | None | $407.38 | $501.19 | $831.76 |
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 $281.84 Median $309.03 Typical High $389.05 | Professional | 52 · Reduced service | $281.84 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $154.88 | Professional | 53 · Discontinued | $112.20 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $467.74 Typical High $588.84 | Professional | 54 · Surgery only | $416.87 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $93.33 Typical High $117.49 | Professional | 55 · Aftercare only | $83.18 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $77.62 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $436.52 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $389.05 | $436.52 | $549.54 |
Where Louisiana sits
The same service costs 4.7 times more in New York 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
NY $3,038FL $649
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.