How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,096 to $11,482Professionalmedian $724 · 10th to 90th $513 to $912
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 $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $851.14 | Professional | None | $724.44 | $741.31 | $851.14 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $8,912.51 | Facility | None | $2,137.96 | $3,090.30 | $8,912.51 |
BCBS Louisiana Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $912.01 | Professional | None | $645.65 | $831.76 | $912.01 |
Christus Setting Facility Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Facility | None | $11,481.54 | $11,481.54 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $2,754.23 | Facility | None | $524.81 | $1,071.52 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $660.69 Typical High $851.14 | Professional | None | $398.11 | $660.69 | $851.14 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $977.24 | Professional | None | $467.74 | $602.56 | $977.24 |
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 $354.81 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $147.91 Typical High $165.96 | Professional | 53 · Discontinued | $144.54 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $549.54 Typical High $616.60 | Professional | 54 · Surgery only | $537.03 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $112.20 Typical High $123.03 | Professional | 55 · Aftercare only | $107.15 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $74.13 Typical High $81.28 | Professional | 56 · Pre-op care only | $72.44 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $512.86 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $501.19 | $512.86 | $575.44 |
Where Louisiana sits
The same service costs 4.6 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 $7,787MT $1,683
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.