How much rates vary
Facilitymedian $3,890 · 10th to 90th $501 to $8,710Professionalmedian $1,349 · 10th to 90th $1,047 to $1,905
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 $891.25 Median $3,162.28 Typical High $5,370.32 | Facility | None | $891.25 | $3,162.28 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,174.90 | $1,905.46 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,168.69 Median $4,786.30 Typical High $10,471.29 | Facility | None | $4,168.69 | $4,786.30 | $10,471.29 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,380.38 | Professional | None | $1,148.15 | $1,348.96 | $1,380.38 |
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 $812.83 Median $1,258.93 Typical High $1,862.09 | Professional | None | $812.83 | $1,258.93 | $1,862.09 |
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 $977.24 Median $1,288.25 Typical High $1,995.26 | Professional | None | $977.24 | $1,288.25 | $1,995.26 |
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 $549.54 Median $575.44 Typical High $933.25 | Professional | 52 · Reduced service | $549.54 | $575.44 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $234.42 Typical High $380.19 | Professional | 53 · Discontinued | $223.87 | $234.42 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $870.96 Typical High $1,412.54 | Professional | 54 · Surgery only | $831.76 | $870.96 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $173.78 Typical High $281.84 | Professional | 55 · Aftercare only | $165.96 | $173.78 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $117.49 Typical High $190.55 | Professional | 56 · Pre-op care only | $112.20 | $117.49 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $812.83 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $776.25 | $812.83 | $1,318.26 |
Where Louisiana sits
The same service costs 16.4 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 $28,429MD $1,737
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.