How much rates vary
Facilitymedian $955 · 10th to 90th $389 to $4,074Professionalmedian $4,365 · 10th to 90th $2,884 to $5,129
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 $3,235.94 Typical High $4,466.84 | Facility | None | $676.08 | $3,235.94 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $4,466.84 Typical High $5,011.87 | Professional | None | $4,365.16 | $4,466.84 | $5,011.87 |
BCBS Setting Professional Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,073.80 | $4,897.79 | $4,897.79 |
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 $3,090.30 Median $3,548.13 Typical High $5,495.41 | Professional | None | $3,090.30 | $3,548.13 | $5,495.41 |
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 $2,511.89 Median $3,311.31 Typical High $5,623.41 | Professional | None | $2,511.89 | $3,311.31 | $5,623.41 |
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 $2,187.76 Median $2,238.72 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,187.76 | $2,238.72 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $891.25 Typical High $1,000.00 | Professional | 53 · Discontinued | $870.96 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,311.31 Median $3,388.44 Typical High $3,801.89 | Professional | 54 · Surgery only | $3,311.31 | $3,388.44 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $660.69 Median $676.08 Typical High $758.58 | Professional | 55 · Aftercare only | $660.69 | $676.08 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $436.52 Median $446.68 Typical High $501.19 | Professional | 56 · Pre-op care only | $436.52 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,090.30 Median $3,162.28 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $3,090.30 | $3,162.28 | $3,548.13 |
Where Louisiana sits
The same service costs 5.9 times more in Alaska than in Delaware. 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 $21,795DE $3,678
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.