How much rates vary
Facilitymedian $6,166 · 10th to 90th $550 to $15,136Professionalmedian $1,698 · 10th to 90th $1,122 to $2,042
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 $812.83 Median $2,691.53 Typical High $5,248.07 | Facility | None | $812.83 | $2,691.53 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,905.46 | $2,089.30 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6,918.31 Median $10,232.93 Typical High $17,378.01 | Facility | None | $6,918.31 | $10,232.93 | $17,378.01 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $1,995.26 | Professional | None | $1,513.56 | $1,778.28 | $1,995.26 |
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 $891.25 Median $1,513.56 Typical High $1,949.84 | Professional | None | $891.25 | $1,513.56 | $1,949.84 |
United Setting Facility Modifier None Typical Low $354.81 Median $741.31 Typical High $4,073.80 | Facility | None | $354.81 | $741.31 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,380.38 | $2,238.72 |
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 $794.33 Median $954.99 Typical High $1,023.29 | Professional | 52 · Reduced service | $794.33 | $954.99 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $380.19 Typical High $407.38 | Professional | 53 · Discontinued | $316.23 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,412.54 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,202.26 | $1,412.54 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $281.84 Typical High $309.03 | Professional | 55 · Aftercare only | $239.88 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $190.55 Typical High $204.17 | Professional | 56 · Pre-op care only | $158.49 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,318.26 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,318.26 | $1,412.54 |
Where Louisiana sits
The same service costs 14.8 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 $28,001MD $1,894
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.