How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,000 to $10,000Professionalmedian $2,630 · 10th to 90th $1,698 to $3,548
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 $724.44 Median $2,630.27 Typical High $4,365.16 | Facility | None | $724.44 | $2,630.27 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $3,630.78 | Professional | None | $2,630.27 | $2,691.53 | $3,630.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,365.16 Median $5,011.87 Typical High $5,011.87 | Facility | None | $4,365.16 | $5,011.87 | $5,011.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,570.40 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,570.40 | $3,311.31 | $3,311.31 |
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 $1,621.81 Typical High $5,888.44 | Facility | None | $524.81 | $1,621.81 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $3,548.13 | Professional | None | $1,513.56 | $2,691.53 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,890.45 | $12,589.25 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,348.96 | $2,089.30 | $3,801.89 |
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 $1,288.25 Median $1,348.96 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,288.25 | $1,348.96 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $537.03 Typical High $691.83 | Professional | 53 · Discontinued | $524.81 | $537.03 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,041.74 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,949.84 | $2,041.74 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $407.38 Typical High $512.86 | Professional | 55 · Aftercare only | $389.05 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $269.15 Typical High $346.74 | Professional | 56 · Pre-op care only | $263.03 | $269.15 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,905.46 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,905.46 | $2,398.83 |
Where Louisiana sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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 $18,090KY $3,723
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.