How much rates vary
Facilitymedian $955 · 10th to 90th $389 to $3,890Professionalmedian $1,905 · 10th to 90th $1,380 to $2,570
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 $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,621.81 | $1,905.46 | $2,089.30 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,344.23 | $2,511.89 |
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 $524.81 Median $1,047.13 Typical High $1,621.81 | Facility | None | $524.81 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,023.29 | $1,905.46 | $2,344.23 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,318.26 | $2,089.30 | $2,754.23 |
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 $812.83 Median $954.99 Typical High $1,047.13 | Professional | 52 · Reduced service | $812.83 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $380.19 Typical High $416.87 | Professional | 53 · Discontinued | $323.59 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,445.44 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,202.26 | $1,445.44 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $288.40 Typical High $316.23 | Professional | 55 · Aftercare only | $239.88 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $190.55 Typical High $208.93 | Professional | 56 · Pre-op care only | $162.18 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,348.96 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,348.96 | $1,479.11 |
Where Louisiana sits
The same service costs 8.9 times more in Alabama than in Maryland. 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
AL $18,845MD $2,111
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.