How much rates vary
Facilitymedian $955 · 10th to 90th $389 to $3,890Professionalmedian $1,820 · 10th to 90th $1,288 to $2,455
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 $1,513.56 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,513.56 | $1,819.70 | $1,949.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,290.87 | Professional | None | $1,778.28 | $2,187.76 | $2,290.87 |
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 $954.99 Median $1,778.28 Typical High $2,137.96 | Professional | None | $954.99 | $1,778.28 | $2,137.96 |
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 $1,230.27 Median $1,949.84 Typical High $2,630.27 | Professional | None | $1,230.27 | $1,949.84 | $2,630.27 |
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 $758.58 Median $912.01 Typical High $977.24 | Professional | 52 · Reduced service | $758.58 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $363.08 Typical High $398.11 | Professional | 53 · Discontinued | $302.00 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,348.96 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,122.02 | $1,348.96 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $269.15 Typical High $295.12 | Professional | 55 · Aftercare only | $229.09 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $181.97 Typical High $194.98 | Professional | 56 · Pre-op care only | $151.36 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,258.93 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,258.93 | $1,380.38 |
Where Louisiana sits
The same service costs 8.1 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 $15,945MD $1,975
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.