How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,175 to $21,380Professionalmedian $794 · 10th to 90th $589 to $1,072
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 $758.58 Median $794.33 Typical High $1,071.52 | Professional | None | $758.58 | $794.33 | $1,071.52 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8,128.31 Median $9,772.37 Typical High $24,547.09 | Facility | None | $8,128.31 | $9,772.37 | $24,547.09 |
BCBS Louisiana Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,000.00 | Professional | None | $776.25 | $1,000.00 | $1,000.00 |
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 $15,135.61 | Facility | None | $645.65 | $1,348.96 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,071.52 | Professional | None | $602.56 | $812.83 | $1,071.52 |
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 $549.54 Median $676.08 Typical High $1,122.02 | Professional | None | $549.54 | $676.08 | $1,122.02 |
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 $380.19 Median $398.11 Typical High $501.19 | Professional | 52 · Reduced service | $380.19 | $398.11 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $158.49 Typical High $199.53 | Professional | 53 · Discontinued | $151.36 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $588.84 Typical High $758.58 | Professional | 54 · Surgery only | $575.44 | $588.84 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $117.49 Typical High $151.36 | Professional | 55 · Aftercare only | $114.82 | $117.49 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $79.43 Typical High $100.00 | Professional | 56 · Pre-op care only | $75.86 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $549.54 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $537.03 | $549.54 | $707.95 |
Where Louisiana sits
The same service costs 10.1 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 $19,890MT $1,977
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.