How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,000 to $12,303Professionalmedian $1,549 · 10th to 90th $1,096 to $2,042
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 $2,511.89 Typical High $3,890.45 | Facility | None | $724.44 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,479.11 | $1,548.82 | $2,089.30 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,715.35 Median $6,165.95 Typical High $13,489.63 | Facility | None | $3,715.35 | $6,165.95 | $13,489.63 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,479.11 | $1,905.46 | $1,905.46 |
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 $7,585.78 | Facility | None | $524.81 | $1,621.81 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,548.82 | $2,041.74 |
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 $1,071.52 Median $1,288.25 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,288.25 | $2,187.76 |
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 $741.31 Median $776.25 Typical High $977.24 | Professional | 52 · Reduced service | $741.31 | $776.25 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $309.03 Typical High $389.05 | Professional | 53 · Discontinued | $295.12 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,148.15 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,096.48 | $1,148.15 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $229.09 Typical High $295.12 | Professional | 55 · Aftercare only | $223.87 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $154.88 Typical High $194.98 | Professional | 56 · Pre-op care only | $147.91 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,071.52 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,071.52 | $1,380.38 |
Where Louisiana sits
The same service costs 5.5 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 $14,559TX $2,668
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.