How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,072 to $10,000Professionalmedian $1,318 · 10th to 90th $912 to $1,778
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 $2,454.71 Typical High $4,365.16 | Facility | None | $724.44 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,318.26 | $1,479.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,981.07 Median $4,570.88 Typical High $9,549.93 | Facility | None | $3,981.07 | $4,570.88 | $9,549.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,584.89 | $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 $524.81 Median $1,071.52 Typical High $5,011.87 | Facility | None | $524.81 | $1,071.52 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,288.25 Typical High $1,584.89 | Professional | None | $691.83 | $1,288.25 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,412.54 Typical High $1,862.09 | Professional | None | $851.14 | $1,412.54 | $1,862.09 |
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 $549.54 Median $660.69 Typical High $707.95 | Professional | 52 · Reduced service | $549.54 | $660.69 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $263.03 Typical High $288.40 | Professional | 53 · Discontinued | $218.78 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $977.24 Typical High $1,071.52 | Professional | 54 · Surgery only | $831.76 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $194.98 Typical High $213.80 | Professional | 55 · Aftercare only | $165.96 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $131.83 Typical High $144.54 | Professional | 56 · Pre-op care only | $109.65 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $912.01 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $776.25 | $912.01 | $1,000.00 |
Where Louisiana sits
The same service costs 4.7 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 $11,128KY $2,365
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.