How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,000 to $8,511Professionalmedian $1,096 · 10th to 90th $832 to $1,445
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 $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,122.02 | $1,445.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,949.84 | $2,238.72 | $2,238.72 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,071.52 | $1,380.38 | $1,380.38 |
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 $1,380.38 Typical High $2,691.53 | Facility | None | $524.81 | $1,380.38 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,445.44 | Professional | None | $812.83 | $1,096.48 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,715.35 Typical High $11,481.54 | Facility | None | $1,348.96 | $3,715.35 | $11,481.54 |
United Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,621.81 | Professional | None | $776.25 | $954.99 | $1,621.81 |
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 $549.54 Median $562.34 Typical High $724.44 | Professional | 52 · Reduced service | $549.54 | $562.34 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $229.09 Typical High $288.40 | Professional | 53 · Discontinued | $218.78 | $229.09 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $851.14 Typical High $1,071.52 | Professional | 54 · Surgery only | $812.83 | $851.14 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $169.82 Typical High $218.78 | Professional | 55 · Aftercare only | $162.18 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $112.20 Typical High $144.54 | Professional | 56 · Pre-op care only | $109.65 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $794.33 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $758.58 | $794.33 | $1,000.00 |
Where Louisiana sits
The same service costs 5.0 times more in Alabama 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
AL $11,256KY $2,261
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.