How much rates vary
Facilitymedian $3,802 · 10th to 90th $891 to $12,023Professionalmedian $2,138 · 10th to 90th $1,549 to $2,884
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 $2,570.40 Typical High $4,365.16 | Facility | None | $724.44 | $2,570.40 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,187.76 | $2,951.21 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6,309.57 Median $10,964.78 Typical High $15,488.17 | Facility | None | $6,309.57 | $10,964.78 | $15,488.17 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,691.53 | $2,691.53 |
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 $7,762.47 | Facility | None | $524.81 | $1,621.81 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,621.81 | $2,187.76 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,819.70 | $3,019.95 |
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 $1,047.13 Median $1,096.48 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,047.13 | $1,096.48 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $436.52 Typical High $549.54 | Professional | 53 · Discontinued | $416.87 | $436.52 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,621.81 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,548.82 | $1,621.81 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $323.59 Typical High $416.87 | Professional | 55 · Aftercare only | $309.03 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $218.78 Typical High $275.42 | Professional | 56 · Pre-op care only | $208.93 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,513.56 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,513.56 | $1,949.84 |
Where Louisiana sits
The same service costs 4.7 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 $16,761KY $3,604
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.