How much rates vary
Facilitymedian $3,467 · 10th to 90th $776 to $8,710Professionalmedian $1,096 · 10th to 90th $724 to $1,318
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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,230.27 | $1,318.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $4,073.80 Typical High $9,549.93 | Facility | None | $3,162.28 | $4,073.80 | $9,549.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,318.26 | Professional | None | $977.24 | $1,174.90 | $1,318.26 |
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 $331.13 Median $645.65 Typical High $4,365.16 | Facility | None | $331.13 | $645.65 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $977.24 Typical High $1,258.93 | Professional | None | $588.84 | $977.24 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,511.38 | Facility | None | $1,047.13 | $2,238.72 | $8,511.38 |
United Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,445.44 | Professional | None | $691.83 | $891.25 | $1,445.44 |
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 $512.86 Median $616.60 Typical High $660.69 | Professional | 52 · Reduced service | $512.86 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $245.47 Typical High $263.03 | Professional | 53 · Discontinued | $204.17 | $245.47 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $912.01 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $186.21 Typical High $199.53 | Professional | 55 · Aftercare only | $154.88 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $123.03 Typical High $131.83 | Professional | 56 · Pre-op care only | $102.33 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $851.14 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $724.44 | $851.14 | $912.01 |
Where Louisiana sits
The same service costs 5.0 times more in Oklahoma than in Hawaii. 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 $9,757HI $1,932
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.