How much rates vary
Facilitymedian $21,380 · 10th to 90th $1,514 to $38,019Professionalmedian $759 · 10th to 90th $501 to $912
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 $537.03 Median $1,513.56 Typical High $3,715.35 | Facility | None | $537.03 | $1,513.56 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $831.76 | Professional | None | $676.08 | $776.25 | $831.76 |
BCBS Louisiana Setting Facility Modifier None Typical Low $18,620.87 Median $21,379.62 Typical High $42,657.95 | Facility | None | $18,620.87 | $21,379.62 | $42,657.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $891.25 | Professional | None | $645.65 | $794.33 | $891.25 |
Christus Setting Facility Modifier None Typical Low $36,307.81 Median $36,307.81 Typical High $36,307.81 | Facility | None | $36,307.81 | $36,307.81 | $36,307.81 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $47,863.01 | Facility | None | $501.19 | $831.76 | $47,863.01 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $870.96 | Professional | None | $398.11 | $630.96 | $870.96 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $13,489.63 Typical High $41,686.94 | Facility | None | $2,511.89 | $13,489.63 | $41,686.94 |
United Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $1,047.13 | Professional | None | $467.74 | $645.65 | $1,047.13 |
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 $346.74 Median $380.19 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $154.88 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $575.44 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $575.44 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $114.82 Typical High $125.89 | Professional | 55 · Aftercare only | $104.71 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $77.62 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $537.03 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $489.78 | $537.03 | $575.44 |
Where Louisiana sits
The same service costs 24.6 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 $43,875MT $1,787
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.