How much rates vary
Facilitymedian $3,631 · 10th to 90th $525 to $14,125Professionalmedian $1,445 · 10th to 90th $955 to $1,738
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 $1,348.96 Median $1,621.81 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,621.81 | $1,737.80 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,951.21 Median $9,549.93 Typical High $14,125.38 | Facility | None | $2,951.21 | $9,549.93 | $14,125.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,548.82 | $1,698.24 |
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 $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,659.59 | Professional | None | $776.25 | $1,288.25 | $1,659.59 |
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 $933.25 Median $1,148.15 Typical High $1,905.46 | Professional | None | $933.25 | $1,148.15 | $1,905.46 |
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 $676.08 Median $812.83 Typical High $870.96 | Professional | 52 · Reduced service | $676.08 | $812.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $323.59 Typical High $346.74 | Professional | 53 · Discontinued | $275.42 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,230.27 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,023.29 | $1,230.27 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $245.47 Typical High $263.03 | Professional | 55 · Aftercare only | $204.17 | $245.47 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $162.18 Typical High $173.78 | Professional | 56 · Pre-op care only | $134.90 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,148.15 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $954.99 | $1,148.15 | $1,230.27 |
Where Louisiana sits
The same service costs 14.5 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 $24,354MD $1,684
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.