How much rates vary
Facilitymedian $4,266 · 10th to 90th $933 to $9,333Professionalmedian $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 $1,258.93 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,258.93 | $1,584.89 | $1,949.84 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $10,715.19 | Facility | None | $4,265.80 | $4,786.30 | $10,715.19 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,513.56 | $1,698.24 |
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 $794.33 Median $1,230.27 Typical High $1,949.84 | Professional | None | $794.33 | $1,230.27 | $1,949.84 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $7,244.36 | Facility | None | $851.14 | $1,548.82 | $7,244.36 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,041.74 | Professional | None | $954.99 | $1,318.26 | $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 $630.96 Median $794.33 Typical High $954.99 | Professional | 52 · Reduced service | $630.96 | $794.33 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $316.23 Typical High $380.19 | Professional | 53 · Discontinued | $251.19 | $316.23 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,174.90 Typical High $1,445.44 | Professional | 54 · Surgery only | $954.99 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $234.42 Typical High $288.40 | Professional | 55 · Aftercare only | $190.55 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $158.49 Typical High $190.55 | Professional | 56 · Pre-op care only | $125.89 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,096.48 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $891.25 | $1,096.48 | $1,348.96 |
Where Louisiana sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $11,283KY $2,440
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.