How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,047 to $6,310Professionalmedian $977 · 10th to 90th $724 to $1,380
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 $4,365.16 | Facility | None | $724.44 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $1,202.26 | Professional | None | $933.25 | $954.99 | $1,202.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $6,165.95 | Facility | None | $2,398.83 | $3,090.30 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,258.93 | Professional | None | $954.99 | $1,148.15 | $1,258.93 |
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 $1,047.13 Typical High $1,621.81 | Facility | None | $524.81 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $954.99 Typical High $1,380.38 | Professional | None | $562.34 | $954.99 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $7,762.47 | Facility | None | $1,047.13 | $2,238.72 | $7,762.47 |
United Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,412.54 | Professional | None | $707.95 | $870.96 | $1,412.54 |
7 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 $467.74 Median $478.63 Typical High $575.44 | Professional | 52 · Reduced service | $467.74 | $478.63 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $190.55 Typical High $229.09 | Professional | 53 · Discontinued | $186.21 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $724.44 Typical High $870.96 | Professional | 54 · Surgery only | $707.95 | $724.44 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $144.54 Typical High $173.78 | Professional | 55 · Aftercare only | $141.25 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $95.50 Typical High $114.82 | Professional | 56 · Pre-op care only | $93.33 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $676.08 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $660.69 | $676.08 | $812.83 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 51 · Multiple procedures | $524.81 | $524.81 | $524.81 |
Where Louisiana sits
The same service costs 11.6 times more in Maine than in Texas. 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
ME $23,484TX $2,029
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.