How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,175 to $10,715Professionalmedian $1,072 · 10th to 90th $724 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 $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,380.38 | Professional | None | $912.01 | $1,122.02 | $1,380.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,884.03 Median $5,011.87 Typical High $11,481.54 | Facility | None | $2,884.03 | $5,011.87 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,258.93 | Professional | None | $912.01 | $1,148.15 | $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 $4,786.30 | Facility | None | $645.65 | $1,348.96 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,445.44 | Professional | None | $588.84 | $891.25 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $1,445.44 | Professional | None | $676.08 | $977.24 | $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 $457.09 Median $562.34 Typical High $691.83 | Professional | 52 · Reduced service | $457.09 | $562.34 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $223.87 Typical High $275.42 | Professional | 53 · Discontinued | $181.97 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $851.14 Typical High $1,023.29 | Professional | 54 · Surgery only | $676.08 | $851.14 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $169.82 Typical High $204.17 | Professional | 55 · Aftercare only | $138.04 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $112.20 Typical High $138.04 | Professional | 56 · Pre-op care only | $91.20 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $794.33 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $630.96 | $794.33 | $954.99 |
Where Louisiana sits
The same service costs 4.2 times more in Oklahoma 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
OK $10,462MT $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.