How much rates vary
Facilitymedian $2,570 · 10th to 90th $891 to $5,888Professionalmedian $562 · 10th to 90th $398 to $759
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 $524.81 Median $1,513.56 Typical High $3,548.13 | Facility | None | $524.81 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $758.58 | Professional | None | $501.19 | $616.60 | $758.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,380.38 Median $2,691.53 Typical High $6,760.83 | Facility | None | $1,380.38 | $2,691.53 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $660.69 | Professional | None | $478.63 | $588.84 | $660.69 |
Christus Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $2,344.23 | Facility | None | $501.19 | $831.76 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $741.31 | Professional | None | $309.03 | $478.63 | $741.31 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $812.83 | Professional | None | $380.19 | $524.81 | $812.83 |
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 $251.19 Median $309.03 Typical High $371.54 | Professional | 52 · Reduced service | $251.19 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $100.00 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $457.09 Typical High $562.34 | Professional | 54 · Surgery only | $371.54 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $91.20 Typical High $112.20 | Professional | 55 · Aftercare only | $75.86 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $61.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $50.12 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $426.58 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $346.74 | $426.58 | $524.81 |
Where Louisiana sits
The same service costs 4.1 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 $5,653MT $1,368
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.