How much rates vary
Facilitymedian $295 · 10th to 90th $93 to $1,202Professionalmedian $145 · 10th to 90th $95 to $204
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 $181.97 Median $1,258.93 Typical High $3,467.37 | Facility | None | $181.97 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $181.97 | Professional | None | $112.20 | $144.54 | $181.97 |
BCBS Louisiana Setting Facility Modifier None Typical Low $93.33 Median $239.88 Typical High $537.03 | Facility | None | $93.33 | $239.88 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $204.17 | Professional | None | $120.23 | $154.88 | $204.17 |
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 $75.86 Median $100.00 Typical High $169.82 | Facility | None | $75.86 | $100.00 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $218.78 | Professional | None | $104.71 | $147.91 | $218.78 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,202.26 | Facility | None | $91.20 | $363.08 | $1,202.26 |
United Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $190.55 | Professional | None | $83.18 | $114.82 | $190.55 |
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 $56.23 Median $72.44 Typical High $91.20 | Professional | 52 · Reduced service | $56.23 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.84 Typical High $36.31 | Professional | 53 · Discontinued | $22.39 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $109.65 Typical High $134.90 | Professional | 54 · Surgery only | $85.11 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $21.88 Typical High $26.92 | Professional | 55 · Aftercare only | $16.98 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $14.45 Typical High $18.20 | Professional | 56 · Pre-op care only | $11.22 | $14.45 | $18.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $102.33 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $79.43 | $102.33 | $125.89 |
Where Louisiana sits
The same service costs 13.1 times more in Hawaii than in Maryland. 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
HI $2,944MD $224
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.