How much rates vary
Facilitymedian $282 · 10th to 90th $112 to $1,072Professionalmedian $398 · 10th to 90th $269 to $525
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 $389.05 Median $2,187.76 Typical High $3,890.45 | Facility | None | $389.05 | $2,187.76 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $478.63 | Professional | None | $338.84 | $389.05 | $478.63 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $537.03 | Facility | None | $144.54 | $223.87 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $524.81 | Professional | None | $354.81 | $457.09 | $524.81 |
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 $75.86 Median $114.82 Typical High $229.09 | Facility | None | $75.86 | $114.82 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $575.44 | Professional | None | $309.03 | $398.11 | $575.44 |
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 $245.47 Median $316.23 Typical High $524.81 | Professional | None | $245.47 | $316.23 | $524.81 |
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 $169.82 Median $194.98 Typical High $239.88 | Professional | 52 · Reduced service | $169.82 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $77.62 Typical High $95.50 | Professional | 53 · Discontinued | $67.61 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $295.12 Typical High $363.08 | Professional | 54 · Surgery only | $251.19 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $58.88 Typical High $72.44 | Professional | 55 · Aftercare only | $50.12 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $38.90 Typical High $47.86 | Professional | 56 · Pre-op care only | $33.88 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $234.42 | $275.42 | $338.84 |
Where Louisiana sits
The same service costs 6.7 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 $2,828FL $419
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.