How much rates vary
Facilitymedian $3,467 · 10th to 90th $832 to $9,120Professionalmedian $2,089 · 10th to 90th $1,514 to $2,754
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 $741.31 Median $1,949.84 Typical High $3,801.89 | Facility | None | $741.31 | $1,949.84 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,691.53 | Professional | None | $1,995.26 | $2,089.30 | $2,691.53 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8,128.31 Median $9,120.11 Typical High $9,120.11 | Facility | None | $8,128.31 | $9,120.11 | $9,120.11 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,995.26 | $2,570.40 | $2,570.40 |
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 $10,715.19 | Facility | None | $524.81 | $1,621.81 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,548.82 | $2,089.30 | $2,754.23 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $14,454.40 | Facility | None | $851.14 | $1,584.89 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,445.44 | $1,737.80 | $2,951.21 |
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 $1,000.00 Median $1,047.13 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,000.00 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $416.87 Typical High $537.03 | Professional | 53 · Discontinued | $398.11 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,584.89 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,513.56 | $1,584.89 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $316.23 Typical High $398.11 | Professional | 55 · Aftercare only | $302.00 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $208.93 Typical High $269.15 | Professional | 56 · Pre-op care only | $199.53 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,479.11 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,479.11 | $1,862.09 |
Where Louisiana sits
The same service costs 6.3 times more in Alaska than in Texas. 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 $16,928TX $2,675
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.