How much rates vary
Facilitymedian $1,096 · 10th to 90th $407 to $4,074Professionalmedian $1,950 · 10th to 90th $1,413 to $2,692
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 $891.25 Median $2,818.38 Typical High $4,466.84 | Facility | None | $891.25 | $2,818.38 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,187.76 | Professional | None | $1,621.81 | $1,949.84 | $2,187.76 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $2,454.71 | Professional | None | $1,905.46 | $2,344.23 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,023.29 | $1,905.46 | $2,290.87 |
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 $1,348.96 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,348.96 | $2,187.76 | $3,019.95 |
5 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 $389.05 Typical High $416.87 | Professional | 53 · Discontinued | $323.59 | $389.05 | $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 $245.47 Median $288.40 Typical High $316.23 | Professional | 55 · Aftercare only | $245.47 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $194.98 Typical High $208.93 | Professional | 56 · Pre-op care only | $162.18 | $194.98 | $208.93 |
Where Louisiana sits
The same service costs 25.6 times more in Maine 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
ME $53,236MD $2,076
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.