How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,072 to $10,965Professionalmedian $1,318 · 10th to 90th $933 to $1,778
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 $1,230.27 Median $1,258.93 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,258.93 | $1,698.24 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $12,302.69 | Facility | None | $4,073.80 | $4,786.30 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,288.25 | $1,659.59 | $1,659.59 |
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 $5,888.44 | Facility | None | $645.65 | $1,348.96 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,000.00 | $1,348.96 | $1,778.28 |
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 $851.14 Median $1,071.52 Typical High $1,778.28 | Professional | None | $851.14 | $1,071.52 | $1,778.28 |
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 $616.60 Median $630.96 Typical High $812.83 | Professional | 52 · Reduced service | $616.60 | $630.96 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $251.19 Typical High $323.59 | Professional | 53 · Discontinued | $245.47 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $954.99 Typical High $1,202.26 | Professional | 54 · Surgery only | $912.01 | $954.99 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $190.55 Typical High $239.88 | Professional | 55 · Aftercare only | $186.21 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $125.89 Typical High $162.18 | Professional | 56 · Pre-op care only | $123.03 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $891.25 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $851.14 | $891.25 | $1,122.02 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska than in Delaware. 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 $12,209DE $3,093
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.