How much rates vary
Facilitymedian $4,266 · 10th to 90th $891 to $8,710Professionalmedian $1,479 · 10th to 90th $1,122 to $1,995
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 $741.31 Median $1,862.09 Typical High $3,801.89 | Facility | None | $741.31 | $1,862.09 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,380.38 | $1,412.54 | $1,949.84 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,365.16 Median $5,011.87 Typical High $10,715.19 | Facility | None | $4,365.16 | $5,011.87 | $10,715.19 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,698.24 | $1,862.09 |
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 $524.81 Median $1,174.90 Typical High $3,630.78 | Facility | None | $524.81 | $1,174.90 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $1,995.26 | Professional | None | $812.83 | $1,412.54 | $1,995.26 |
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 $1,071.52 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,318.26 | $2,238.72 |
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 $691.83 Median $707.95 Typical High $851.14 | Professional | 52 · Reduced service | $691.83 | $707.95 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $281.84 Typical High $346.74 | Professional | 53 · Discontinued | $275.42 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,071.52 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,047.13 | $1,071.52 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $213.80 Typical High $257.04 | Professional | 55 · Aftercare only | $208.93 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $141.25 Typical High $169.82 | Professional | 56 · Pre-op care only | $138.04 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,000.00 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $977.24 | $1,000.00 | $1,202.26 |
Where Louisiana sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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 $10,675KY $2,405
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.