How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,288 to $10,233Professionalmedian $933 · 10th to 90th $708 to $1,288
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 $724.44 Median $2,454.71 Typical High $5,370.32 | Facility | None | $724.44 | $2,454.71 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,202.26 | Professional | None | $851.14 | $891.25 | $1,202.26 |
Ambetter Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,047.13 | Professional | None | $676.08 | $1,047.13 | $1,047.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $11,748.98 | Facility | None | $2,884.03 | $4,466.84 | $11,748.98 |
BCBS Louisiana Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,174.90 | Professional | None | $870.96 | $1,047.13 | $1,174.90 |
Christus Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $4,677.35 | Facility | None | $691.83 | $1,513.56 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,288.25 | Professional | None | $524.81 | $891.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,380.38 | Professional | None | $676.08 | $870.96 | $1,380.38 |
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 $426.58 Median $446.68 Typical High $537.03 | Professional | 52 · Reduced service | $426.58 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $177.83 Typical High $213.80 | Professional | 53 · Discontinued | $173.78 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $660.69 Typical High $794.33 | Professional | 54 · Surgery only | $645.65 | $660.69 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $131.83 Typical High $158.49 | Professional | 55 · Aftercare only | $128.82 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $89.13 Typical High $107.15 | Professional | 56 · Pre-op care only | $85.11 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $616.60 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $602.56 | $616.60 | $741.31 |
Where Louisiana sits
The same service costs 4.5 times more in Alaska 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
AK $10,099MT $2,245
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.