How much rates vary
Facilitymedian $3,388 · 10th to 90th $955 to $7,943Professionalmedian $1,288 · 10th to 90th $851 to $1,585
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 $2,454.71 Typical High $4,365.16 | Facility | None | $676.08 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,445.44 | $1,621.81 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $3,548.13 Typical High $8,709.64 | Facility | None | $3,162.28 | $3,548.13 | $8,709.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,380.38 | $1,548.82 |
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 $707.95 Median $1,513.56 Typical High $4,365.16 | Facility | None | $707.95 | $1,513.56 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,174.90 Typical High $1,479.11 | Professional | None | $691.83 | $1,174.90 | $1,479.11 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,760.83 | Facility | None | $851.14 | $1,548.82 | $6,760.83 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,698.24 | Professional | None | $831.76 | $1,023.29 | $1,698.24 |
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 $616.60 Median $724.44 Typical High $776.25 | Professional | 52 · Reduced service | $616.60 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $295.12 Typical High $316.23 | Professional | 53 · Discontinued | $245.47 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,096.48 Typical High $1,174.90 | Professional | 54 · Surgery only | $912.01 | $1,096.48 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $218.78 Typical High $234.42 | Professional | 55 · Aftercare only | $181.97 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $144.54 Typical High $158.49 | Professional | 56 · Pre-op care only | $123.03 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,023.29 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $851.14 | $1,023.29 | $1,096.48 |
Where Louisiana sits
The same service costs 4.1 times more in Alaska than in Delaware. 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 $9,881DE $2,434
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.