How much rates vary
Facilitymedian $3,890 · 10th to 90th $490 to $8,913Professionalmedian $1,318 · 10th to 90th $891 to $1,622
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 $1,258.93 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,513.56 | $1,621.81 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,011.87 Median $5,754.40 Typical High $10,471.29 | Facility | None | $5,011.87 | $5,754.40 | $10,471.29 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,445.44 | $1,584.89 |
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 $724.44 Median $1,230.27 Typical High $1,548.82 | Professional | None | $724.44 | $1,230.27 | $1,548.82 |
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 $851.14 Median $1,047.13 Typical High $1,778.28 | Professional | None | $851.14 | $1,047.13 | $1,778.28 |
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 $630.96 Median $758.58 Typical High $812.83 | Professional | 52 · Reduced service | $630.96 | $758.58 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $302.00 Typical High $323.59 | Professional | 53 · Discontinued | $257.04 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,148.15 Typical High $1,230.27 | Professional | 54 · Surgery only | $954.99 | $1,148.15 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $229.09 Typical High $245.47 | Professional | 55 · Aftercare only | $190.55 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $151.36 Typical High $162.18 | Professional | 56 · Pre-op care only | $128.82 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,071.52 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $891.25 | $1,071.52 | $1,148.15 |
Where Louisiana sits
The same service costs 10.3 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 $16,837MD $1,634
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.