How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,047 to $10,965Professionalmedian $1,122 · 10th to 90th $794 to $1,479
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 $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,071.52 | $1,445.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,786.30 Median $5,495.41 Typical High $12,302.69 | Facility | None | $4,786.30 | $5,495.41 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,412.54 | $1,412.54 |
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 $645.65 Median $1,348.96 Typical High $7,413.10 | Facility | None | $645.65 | $1,348.96 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,479.11 | Professional | None | $831.76 | $1,148.15 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $9,549.93 | Facility | None | $1,047.13 | $2,238.72 | $9,549.93 |
United Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,513.56 | Professional | None | $758.58 | $912.01 | $1,513.56 |
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 $524.81 Median $537.03 Typical High $691.83 | Professional | 52 · Reduced service | $524.81 | $537.03 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $213.80 Typical High $275.42 | Professional | 53 · Discontinued | $208.93 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $812.83 Typical High $1,023.29 | Professional | 54 · Surgery only | $776.25 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $162.18 Typical High $204.17 | Professional | 55 · Aftercare only | $158.49 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $107.15 Typical High $138.04 | Professional | 56 · Pre-op care only | $104.71 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $758.58 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $724.44 | $758.58 | $954.99 |
Where Louisiana sits
The same service costs 4.5 times more in Alaska 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
AK $12,963MT $2,892
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.