How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,698 to $10,965Professionalmedian $1,380 · 10th to 90th $955 to $1,820
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 $1,148.15 Median $1,380.38 Typical High $1,479.11 | Professional | None | $1,148.15 | $1,380.38 | $1,479.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,981.07 Median $4,786.30 Typical High $11,481.54 | Facility | None | $3,981.07 | $4,786.30 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,698.24 | $1,737.80 |
Christus Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,621.81 Typical High $5,011.87 | Facility | None | $524.81 | $1,621.81 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $1,621.81 | Professional | None | $724.44 | $1,348.96 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,890.45 | $12,589.25 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $1,995.26 | Professional | None | $891.25 | $1,479.11 | $1,995.26 |
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 $575.44 Median $691.83 Typical High $741.31 | Professional | 52 · Reduced service | $575.44 | $691.83 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $275.42 Typical High $302.00 | Professional | 53 · Discontinued | $229.09 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,023.29 Typical High $1,122.02 | Professional | 54 · Surgery only | $870.96 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $204.17 Typical High $223.87 | Professional | 55 · Aftercare only | $173.78 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $138.04 Typical High $147.91 | Professional | 56 · Pre-op care only | $114.82 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $954.99 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $812.83 | $954.99 | $1,047.13 |
Where Louisiana sits
The same service costs 4.8 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 $11,834KY $2,456
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.