How much rates vary
Facilitymedian $1,148 · 10th to 90th $457 to $2,884Professionalmedian $1,000 · 10th to 90th $724 to $1,318
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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,258.93 | Professional | None | $912.01 | $1,000.00 | $1,258.93 |
BCBS Setting Facility Modifier None Typical Low $416.87 Median $1,096.48 Typical High $2,951.21 | Facility | None | $416.87 | $1,096.48 | $2,951.21 |
BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | None | $954.99 | $1,230.27 | $1,230.27 |
Christus Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $1,548.82 | Facility | None | $501.19 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,318.26 | Professional | None | $741.31 | $1,000.00 | $1,318.26 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,412.54 | Professional | None | $691.83 | $831.76 | $1,412.54 |
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 $478.63 Median $501.19 Typical High $630.96 | Professional | 52 · Reduced service | $478.63 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $199.53 Typical High $251.19 | Professional | 53 · Discontinued | $190.55 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $741.31 Typical High $954.99 | Professional | 54 · Surgery only | $707.95 | $741.31 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $147.91 Typical High $190.55 | Professional | 55 · Aftercare only | $144.54 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $100.00 Typical High $125.89 | Professional | 56 · Pre-op care only | $95.50 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $691.83 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $660.69 | $691.83 | $891.25 |
Where Louisiana sits
The same service costs 3.6 times more in Alaska than in Alabama. 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 $5,545AL $1,558
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.