How much rates vary
Facilitymedian $3,236 · 10th to 90th $891 to $7,586Professionalmedian $1,862 · 10th to 90th $1,288 to $2,399
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 $1,548.82 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,548.82 | $1,862.09 | $1,995.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,884.03 Median $5,011.87 Typical High $7,079.46 | Facility | None | $2,884.03 | $5,011.87 | $7,079.46 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $2,398.83 | Professional | None | $1,819.70 | $2,238.72 | $2,398.83 |
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 $1,174.90 Typical High $5,011.87 | Facility | None | $524.81 | $1,174.90 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,659.59 Typical High $2,238.72 | Professional | None | $977.24 | $1,659.59 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,511.38 | Facility | None | $1,047.13 | $2,238.72 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,995.26 | $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 $776.25 Median $933.25 Typical High $1,000.00 | Professional | 52 · Reduced service | $776.25 | $933.25 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $371.54 Typical High $407.38 | Professional | 53 · Discontinued | $309.03 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,380.38 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,174.90 | $1,380.38 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $275.42 Typical High $302.00 | Professional | 55 · Aftercare only | $234.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $186.21 Typical High $199.53 | Professional | 56 · Pre-op care only | $154.88 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,288.25 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,288.25 | $1,412.54 |
Where Louisiana sits
The same service costs 6.6 times more in Alabama 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
AL $18,462KY $2,797
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.