How much rates vary
Facilitymedian $1,549 · 10th to 90th $575 to $5,370Professionalmedian $1,820 · 10th to 90th $1,230 to $2,512
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 $1,905.46 Typical High $3,715.35 | Facility | None | $676.08 | $1,905.46 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,698.24 | $1,778.28 | $2,398.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $5,888.44 | Facility | None | $1,380.38 | $2,398.83 | $5,888.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,819.70 | $2,290.87 | $2,290.87 |
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 $524.81 Median $1,047.13 Typical High $2,187.76 | Facility | None | $524.81 | $1,047.13 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,318.26 | $1,905.46 | $2,511.89 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $4,365.16 | Facility | None | $446.68 | $954.99 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,454.71 | Professional | None | $1,047.13 | $1,412.54 | $2,454.71 |
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 $851.14 Median $891.25 Typical High $1,122.02 | Professional | 52 · Reduced service | $851.14 | $891.25 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $354.81 Typical High $446.68 | Professional | 53 · Discontinued | $338.84 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,318.26 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,288.25 | $1,318.26 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $263.03 Typical High $338.84 | Professional | 55 · Aftercare only | $257.04 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $177.83 Typical High $223.87 | Professional | 56 · Pre-op care only | $169.82 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,230.27 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,230.27 | $1,584.89 |
Where Louisiana sits
The same service costs 3.7 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 $8,917DE $2,410
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.