How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,479 to $15,136Professionalmedian $4,266 · 10th to 90th $468 to $9,333
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 $741.31 Median $3,467.37 Typical High $8,709.64 | Facility | None | $741.31 | $3,467.37 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,288.25 Typical High $9,332.54 | Professional | None | $630.96 | $1,288.25 | $9,332.54 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6,025.60 Median $7,244.36 Typical High $17,378.01 | Facility | None | $6,025.60 | $7,244.36 | $17,378.01 |
BCBS Louisiana Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $8,709.64 | Professional | None | $588.84 | $912.01 | $8,709.64 |
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 $588.84 Median $2,511.89 Typical High $12,302.69 | Facility | None | $588.84 | $2,511.89 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $1,202.26 Typical High $8,912.51 | Professional | None | $446.68 | $1,202.26 | $8,912.51 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $13,489.63 | Facility | None | $1,348.96 | $3,890.45 | $13,489.63 |
United Setting Professional Modifier None Typical Low $416.87 Median $5,248.07 Typical High $11,481.54 | Professional | None | $416.87 | $5,248.07 | $11,481.54 |
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 $316.23 Median $645.65 Typical High $4,677.35 | Professional | 52 · Reduced service | $316.23 | $645.65 | $4,677.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $257.04 Typical High $1,862.09 | Professional | 53 · Discontinued | $125.89 | $257.04 | $1,862.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $977.24 Typical High $7,079.46 | Professional | 54 · Surgery only | $478.63 | $977.24 | $7,079.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $194.98 Typical High $1,412.54 | Professional | 55 · Aftercare only | $95.50 | $194.98 | $1,412.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $128.82 Typical High $933.25 | Professional | 56 · Pre-op care only | $63.10 | $128.82 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $912.01 Typical High $6,606.93 | Professional | 78 · Unplanned return to OR | $446.68 | $912.01 | $6,606.93 |
Where Louisiana sits
The same service costs 4.1 times more in Iowa 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
IA $18,453DE $4,539
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.