How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,047 to $10,471Professionalmedian $851 · 10th to 90th $603 to $1,122
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 $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,122.02 | Professional | None | $758.58 | $831.76 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,168.69 Median $5,623.41 Typical High $11,748.98 | Facility | None | $4,168.69 | $5,623.41 | $11,748.98 |
BCBS Louisiana Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,047.13 | Professional | None | $812.83 | $1,047.13 | $1,047.13 |
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 $645.65 Median $1,348.96 Typical High $8,709.64 | Facility | None | $645.65 | $1,348.96 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,122.02 | Professional | None | $630.96 | $851.14 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $9,549.93 | Facility | None | $1,047.13 | $2,238.72 | $9,549.93 |
United Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,174.90 | Professional | None | $575.44 | $691.83 | $1,174.90 |
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 $398.11 Median $416.87 Typical High $524.81 | Professional | 52 · Reduced service | $398.11 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $165.96 Typical High $213.80 | Professional | 53 · Discontinued | $158.49 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $616.60 Typical High $794.33 | Professional | 54 · Surgery only | $602.56 | $616.60 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $125.89 Typical High $158.49 | Professional | 55 · Aftercare only | $120.23 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $83.18 Typical High $104.71 | Professional | 56 · Pre-op care only | $79.43 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $575.44 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $562.34 | $575.44 | $741.31 |
Where Louisiana sits
The same service costs 5.4 times more in Alaska than in Montana. 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 $11,142MT $2,070
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.