How much rates vary
Facilitymedian $1,479 · 10th to 90th $955 to $5,248Professionalmedian $398 · 10th to 90th $275 to $501
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 $549.54 Median $2,398.83 Typical High $3,890.45 | Facility | None | $549.54 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $501.19 | Professional | None | $371.54 | $446.68 | $501.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $6,165.95 | Facility | None | $1,174.90 | $1,862.09 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $478.63 | Professional | None | $354.81 | $436.52 | $478.63 |
Christus Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,995.26 | Facility | None | $645.65 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $380.19 Typical High $457.09 | Professional | None | $229.09 | $380.19 | $457.09 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,754.40 | Facility | None | $851.14 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $537.03 | Professional | None | $257.04 | $323.59 | $537.03 |
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 $186.21 Median $223.87 Typical High $239.88 | Professional | 52 · Reduced service | $186.21 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $89.13 Typical High $95.50 | Professional | 53 · Discontinued | $75.86 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $338.84 Typical High $363.08 | Professional | 54 · Surgery only | $281.84 | $338.84 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $67.61 Typical High $72.44 | Professional | 55 · Aftercare only | $56.23 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $44.67 Typical High $47.86 | Professional | 56 · Pre-op care only | $37.15 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $316.23 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $263.03 | $316.23 | $338.84 |
Where Louisiana sits
The same service costs 6.6 times more in Oklahoma 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
OK $6,126MT $925
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.