How much rates vary
Facilitymedian $1,698 · 10th to 90th $550 to $15,136Professionalmedian $2,138 · 10th to 90th $1,549 to $2,951
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 $1,819.70 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,819.70 | $2,137.96 | $2,884.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7,943.28 Median $9,120.11 Typical High $21,379.62 | Facility | None | $7,943.28 | $9,120.11 | $21,379.62 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,570.40 | $2,754.23 |
Christus Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
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 $1,122.02 Median $2,137.96 Typical High $2,570.40 | Professional | None | $1,122.02 | $2,137.96 | $2,570.40 |
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 $1,479.11 Median $2,398.83 Typical High $3,311.31 | Professional | None | $1,479.11 | $2,398.83 | $3,311.31 |
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 $912.01 Median $1,071.52 Typical High $1,174.90 | Professional | 52 · Reduced service | $912.01 | $1,071.52 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $426.58 Typical High $467.74 | Professional | 53 · Discontinued | $363.08 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,621.81 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,348.96 | $1,621.81 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $323.59 Typical High $354.81 | Professional | 55 · Aftercare only | $269.15 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $213.80 Typical High $234.42 | Professional | 56 · Pre-op care only | $181.97 | $213.80 | $234.42 |
Where Louisiana sits
The same service costs 24.1 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 $53,525MD $2,222
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.