How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,000 to $7,244Professionalmedian $759 · 10th to 90th $537 to $1,047
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 $2,511.89 Typical High $4,466.84 | Facility | None | $676.08 | $2,511.89 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $1,023.29 | Professional | None | $616.60 | $758.58 | $1,023.29 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $9,549.93 | Facility | None | $1,819.70 | $2,818.38 | $9,549.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $977.24 | Professional | None | $758.58 | $977.24 | $977.24 |
Christus Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,348.96 Typical High $2,884.03 | Facility | None | $645.65 | $1,348.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,047.13 | Professional | None | $588.84 | $794.33 | $1,047.13 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,071.52 | Professional | None | $489.78 | $630.96 | $1,071.52 |
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 $363.08 Median $380.19 Typical High $478.63 | Professional | 52 · Reduced service | $363.08 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $151.36 Typical High $194.98 | Professional | 53 · Discontinued | $147.91 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $575.44 Typical High $724.44 | Professional | 54 · Surgery only | $549.54 | $575.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $114.82 Typical High $144.54 | Professional | 55 · Aftercare only | $109.65 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $75.86 Typical High $97.72 | Professional | 56 · Pre-op care only | $72.44 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $537.03 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $512.86 | $537.03 | $676.08 |
Where Louisiana sits
The same service costs 4.4 times more in Alabama 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
AL $8,454MT $1,932
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.