How much rates vary
Facilitymedian $11,220 · 10th to 90th $1,514 to $33,113Professionalmedian $4,786 · 10th to 90th $589 to $9,120
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 $707.95 Median $3,235.94 Typical High $6,760.83 | Facility | None | $707.95 | $3,235.94 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $3,890.45 Typical High $8,317.64 | Professional | None | $588.84 | $3,890.45 | $8,317.64 |
BCBS Louisiana Setting Facility Modifier None Typical Low $10,000.00 Median $16,982.44 Typical High $34,673.69 | Facility | None | $10,000.00 | $16,982.44 | $34,673.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $8,912.51 | Professional | None | $691.83 | $977.24 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $20,892.96 | Facility | None | $524.81 | $1,174.90 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $7,943.28 | Professional | None | $501.19 | $933.25 | $7,943.28 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $13,182.57 Typical High $36,307.81 | Facility | None | $2,511.89 | $13,182.57 | $36,307.81 |
United Setting Professional Modifier None Typical Low $537.03 Median $6,025.60 Typical High $11,748.98 | Professional | None | $537.03 | $6,025.60 | $11,748.98 |
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 $295.12 Median $1,174.90 Typical High $4,168.69 | Professional | 52 · Reduced service | $295.12 | $1,174.90 | $4,168.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $478.63 Typical High $1,659.59 | Professional | 53 · Discontinued | $117.49 | $478.63 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $1,778.28 Typical High $6,309.57 | Professional | 54 · Surgery only | $446.68 | $1,778.28 | $6,309.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $354.81 Typical High $1,258.93 | Professional | 55 · Aftercare only | $89.13 | $354.81 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $234.42 Typical High $831.76 | Professional | 56 · Pre-op care only | $58.88 | $234.42 | $831.76 |
Where Louisiana sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.