How much rates vary
Facilitymedian $4,571 · 10th to 90th $912 to $9,772Professionalmedian $617 · 10th to 90th $457 to $832
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 $575.44 Median $602.56 Typical High $776.25 | Professional | None | $575.44 | $602.56 | $776.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,981.07 Median $4,570.88 Typical High $12,302.69 | Facility | None | $3,981.07 | $4,570.88 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $776.25 | Professional | None | $602.56 | $776.25 | $776.25 |
Christus Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $5,888.44 | Facility | None | $501.19 | $831.76 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $831.76 | Professional | None | $467.74 | $630.96 | $831.76 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $8,912.51 | Facility | None | $851.14 | $1,548.82 | $8,912.51 |
United Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $870.96 | Professional | None | $426.58 | $537.03 | $870.96 |
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 $288.40 Median $302.00 Typical High $389.05 | Professional | 52 · Reduced service | $288.40 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $120.23 Typical High $154.88 | Professional | 53 · Discontinued | $114.82 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $457.09 Typical High $575.44 | Professional | 54 · Surgery only | $436.52 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $91.20 Typical High $114.82 | Professional | 55 · Aftercare only | $87.10 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $60.26 Typical High $77.62 | Professional | 56 · Pre-op care only | $57.54 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $426.58 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $407.38 | $426.58 | $537.03 |
Where Louisiana sits
The same service costs 7.0 times more in Alabama 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
AL $10,808MT $1,535
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.