How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,479 to $17,783Professionalmedian $3,802 · 10th to 90th $501 to $7,586
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 $602.56 Median $1,905.46 Typical High $5,128.61 | Facility | None | $602.56 | $1,905.46 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $3,715.35 Typical High $6,456.54 | Professional | None | $501.19 | $3,715.35 | $6,456.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,888.44 Median $7,079.46 Typical High $21,379.62 | Facility | None | $5,888.44 | $7,079.46 | $21,379.62 |
BCBS Louisiana Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $7,585.78 | Professional | None | $588.84 | $870.96 | $7,585.78 |
Christus Setting Facility Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Facility | None | $9,549.93 | $9,549.93 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $10,964.78 | Facility | None | $524.81 | $1,174.90 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $794.33 Typical High $6,456.54 | Professional | None | $416.87 | $794.33 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $7,762.47 Typical High $19,054.61 | Facility | None | $1,621.81 | $7,762.47 | $19,054.61 |
United Setting Professional Modifier None Typical Low $467.74 Median $4,168.69 Typical High $8,317.64 | Professional | None | $467.74 | $4,168.69 | $8,317.64 |
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 $251.19 Median $1,000.00 Typical High $3,235.94 | Professional | 52 · Reduced service | $251.19 | $1,000.00 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $398.11 Typical High $1,288.25 | Professional | 53 · Discontinued | $102.33 | $398.11 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $1,479.11 Typical High $4,897.79 | Professional | 54 · Surgery only | $380.19 | $1,479.11 | $4,897.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $295.12 Typical High $977.24 | Professional | 55 · Aftercare only | $75.86 | $295.12 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $199.53 Typical High $645.65 | Professional | 56 · Pre-op care only | $50.12 | $199.53 | $645.65 |
Where Louisiana sits
The same service costs 4.3 times more in Alabama than in Maine. 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
AL $20,420ME $4,758
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.