How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,202 to $21,380Professionalmedian $1,175 · 10th to 90th $832 to $1,549
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 $1,122.02 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,148.15 | $1,584.89 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7,585.78 Median $10,471.29 Typical High $24,547.09 | Facility | None | $7,585.78 | $10,471.29 | $24,547.09 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,148.15 | $1,445.44 | $1,445.44 |
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 $14,125.38 | Facility | None | $645.65 | $1,348.96 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,548.82 | Professional | None | $870.96 | $1,174.90 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $15,848.93 | Facility | None | $1,348.96 | $3,801.89 | $15,848.93 |
United Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,659.59 | Professional | None | $812.83 | $954.99 | $1,659.59 |
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 $562.34 Median $575.44 Typical High $741.31 | Professional | 52 · Reduced service | $562.34 | $575.44 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $234.42 Typical High $295.12 | Professional | 53 · Discontinued | $223.87 | $234.42 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $870.96 Typical High $1,122.02 | Professional | 54 · Surgery only | $831.76 | $870.96 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $173.78 Typical High $223.87 | Professional | 55 · Aftercare only | $165.96 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $114.82 Typical High $147.91 | Professional | 56 · Pre-op care only | $112.20 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $812.83 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $776.25 | $812.83 | $1,047.13 |
Where Louisiana sits
The same service costs 6.8 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 $19,480MT $2,858
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.