How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,230 to $12,303Professionalmedian $1,023 · 10th to 90th $741 to $1,349
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 $724.44 Median $2,630.27 Typical High $4,466.84 | Facility | None | $724.44 | $2,630.27 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,380.38 | Professional | None | $977.24 | $1,023.29 | $1,380.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $13,182.57 | Facility | None | $4,677.35 | $6,456.54 | $13,182.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,258.93 | $1,258.93 |
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 $8,709.64 | Facility | None | $645.65 | $1,348.96 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,348.96 | Professional | None | $758.58 | $1,047.13 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,445.44 | Professional | None | $707.95 | $851.14 | $1,445.44 |
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 $489.78 Median $501.19 Typical High $645.65 | Professional | 52 · Reduced service | $489.78 | $501.19 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $204.17 Typical High $257.04 | Professional | 53 · Discontinued | $194.98 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $758.58 Typical High $977.24 | Professional | 54 · Surgery only | $724.44 | $758.58 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $151.36 Typical High $194.98 | Professional | 55 · Aftercare only | $144.54 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $102.33 Typical High $128.82 | Professional | 56 · Pre-op care only | $97.72 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $707.95 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $676.08 | $707.95 | $912.01 |
Where Louisiana sits
The same service costs 5.9 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 $14,644MT $2,489
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.