How much rates vary
Facilitymedian $2,344 · 10th to 90th $933 to $6,761Professionalmedian $646 · 10th to 90th $437 to $776
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 $645.65 Median $2,398.83 Typical High $3,890.45 | Facility | None | $645.65 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $812.83 | Professional | None | $616.60 | $724.44 | $812.83 |
BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $7,413.10 | Facility | None | $2,089.30 | $3,090.30 | $7,413.10 |
BCBS Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $776.25 | Professional | None | $575.44 | $707.95 | $776.25 |
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 $645.65 Median $1,348.96 Typical High $3,019.95 | Facility | None | $645.65 | $1,348.96 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $741.31 | Professional | None | $346.74 | $588.84 | $741.31 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $851.14 | Professional | None | $416.87 | $537.03 | $851.14 |
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 $309.03 Median $363.08 Typical High $389.05 | Professional | 52 · Reduced service | $309.03 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $549.54 Typical High $588.84 | Professional | 54 · Surgery only | $457.09 | $549.54 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $109.65 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $72.44 Typical High $77.62 | Professional | 56 · Pre-op care only | $61.66 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $512.86 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $426.58 | $512.86 | $549.54 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska than in Montana. 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 $5,979MT $1,500
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.