How much rates vary
Facilitymedian $1,862 · 10th to 90th $955 to $5,248Professionalmedian $437 · 10th to 90th $309 to $550
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 $524.81 Median $2,398.83 Typical High $3,890.45 | Facility | None | $524.81 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $512.86 | Professional | None | $416.87 | $446.68 | $512.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $6,165.95 | Facility | None | $1,230.27 | $1,819.70 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $549.54 | Professional | None | $398.11 | $501.19 | $549.54 |
Christus Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $239.88 Median $407.38 Typical High $512.86 | Professional | None | $239.88 | $407.38 | $512.86 |
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 $288.40 Median $371.54 Typical High $588.84 | Professional | None | $288.40 | $371.54 | $588.84 |
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 $218.78 Median $223.87 Typical High $251.19 | Professional | 52 · Reduced service | $218.78 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $89.13 Typical High $100.00 | Professional | 53 · Discontinued | $87.10 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $338.84 Typical High $371.54 | Professional | 54 · Surgery only | $323.59 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $67.61 Typical High $74.13 | Professional | 55 · Aftercare only | $64.57 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $44.67 Typical High $50.12 | Professional | 56 · Pre-op care only | $43.65 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $316.23 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $302.00 | $316.23 | $346.74 |
Where Louisiana sits
The same service costs 5.1 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 $5,094MT $991
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.