How much rates vary
Facilitymedian $4,365 · 10th to 90th $912 to $12,882Professionalmedian $1,479 · 10th to 90th $1,096 to $1,950
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 $2,454.71 Typical High $4,365.16 | Facility | None | $724.44 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,412.54 | $1,479.11 | $1,995.26 |
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 $1,445.44 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,819.70 | $1,819.70 |
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 $1,174.90 Typical High $8,511.38 | Facility | None | $524.81 | $1,174.90 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,513.56 | $1,949.84 |
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 $1,023.29 Median $1,230.27 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,230.27 | $2,089.30 |
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 $707.95 Median $741.31 Typical High $933.25 | Professional | 52 · Reduced service | $707.95 | $741.31 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $295.12 Typical High $371.54 | Professional | 53 · Discontinued | $281.84 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,096.48 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,071.52 | $1,096.48 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $218.78 Typical High $281.84 | Professional | 55 · Aftercare only | $213.80 | $218.78 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $147.91 Typical High $186.21 | Professional | 56 · Pre-op care only | $141.25 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,023.29 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,023.29 | $1,318.26 |
Where Louisiana sits
The same service costs 5.1 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 $14,343KY $2,808
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.