How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,202 to $10,000Professionalmedian $1,445 · 10th to 90th $1,000 to $1,950
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 $2,511.89 Typical High $3,890.45 | Facility | None | $724.44 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,230.27 | $1,513.56 | $1,905.46 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $10,471.29 | Facility | None | $2,884.03 | $4,677.35 | $10,471.29 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,548.82 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $4,786.30 | Facility | None | $524.81 | $1,174.90 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,949.84 | Professional | None | $812.83 | $1,258.93 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,090.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $2,041.74 | Professional | None | $933.25 | $1,380.38 | $2,041.74 |
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 $616.60 Median $758.58 Typical High $933.25 | Professional | 52 · Reduced service | $616.60 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $302.00 Typical High $371.54 | Professional | 53 · Discontinued | $245.47 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,148.15 Typical High $1,412.54 | Professional | 54 · Surgery only | $933.25 | $1,148.15 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $229.09 Typical High $281.84 | Professional | 55 · Aftercare only | $186.21 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $151.36 Typical High $186.21 | Professional | 56 · Pre-op care only | $123.03 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,071.52 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $870.96 | $1,071.52 | $1,318.26 |
Where Louisiana sits
The same service costs 3.4 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 $11,546MT $3,436
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.