How much rates vary
Facilitymedian $3,890 · 10th to 90th $490 to $10,965Professionalmedian $1,413 · 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 $676.08 Median $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,230.27 | $1,995.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $13,182.57 | Facility | None | $4,265.80 | $4,786.30 | $13,182.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $1,445.44 | Professional | None | $1,174.90 | $1,412.54 | $1,445.44 |
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 $831.76 Median $1,318.26 Typical High $1,905.46 | Professional | None | $831.76 | $1,318.26 | $1,905.46 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,412.54 | $2,089.30 |
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 $588.84 Median $616.60 Typical High $1,000.00 | Professional | 52 · Reduced service | $588.84 | $616.60 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $245.47 Typical High $398.11 | Professional | 53 · Discontinued | $234.42 | $245.47 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $912.01 Typical High $1,479.11 | Professional | 54 · Surgery only | $870.96 | $912.01 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $186.21 Typical High $302.00 | Professional | 55 · Aftercare only | $173.78 | $186.21 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $123.03 Typical High $199.53 | Professional | 56 · Pre-op care only | $117.49 | $123.03 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $851.14 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $812.83 | $851.14 | $1,380.38 |
Where Louisiana sits
The same service costs 15.4 times more in Maine than in Maryland. 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 $28,500MD $1,851
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.