How much rates vary
Facilitymedian $2,089 · 10th to 90th $525 to $6,026Professionalmedian $2,239 · 10th to 90th $1,514 to $2,692
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 $1,698.24 Median $2,344.23 Typical High $2,630.27 | Professional | None | $1,698.24 | $2,344.23 | $2,630.27 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $6,760.83 | Facility | None | $1,862.09 | $2,754.23 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,137.96 | $2,570.40 | $2,570.40 |
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 $1,621.81 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,621.81 | $1,862.09 | $2,818.38 |
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 $1,348.96 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,348.96 | $1,698.24 | $2,884.03 |
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 $1,148.15 Median $1,174.90 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,148.15 | $1,174.90 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $467.74 Typical High $524.81 | Professional | 53 · Discontinued | $457.09 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,778.28 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,698.24 | $1,778.28 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $354.81 Typical High $389.05 | Professional | 55 · Aftercare only | $346.74 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $234.42 Typical High $263.03 | Professional | 56 · Pre-op care only | $229.09 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,659.59 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,659.59 | $1,819.70 |
Where Louisiana sits
The same service costs 8.1 times more in Maine than in Maryland. 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
ME $17,891MD $2,222
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.