How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,778 to $12,882Professionalmedian $2,570 · 10th to 90th $1,660 to $3,020
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 $2,818.38 Typical High $4,168.69 | Facility | None | $676.08 | $2,818.38 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,691.53 | $2,951.21 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,248.07 Median $6,165.95 Typical High $13,489.63 | Facility | None | $5,248.07 | $6,165.95 | $13,489.63 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,290.87 | $3,019.95 | $3,019.95 |
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 $758.58 Median $2,754.23 Typical High $6,456.54 | Facility | None | $758.58 | $2,754.23 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $2,754.23 | Professional | None | $1,737.80 | $2,137.96 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,630.78 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,630.78 | $12,589.25 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,584.89 | $1,995.26 | $3,388.44 |
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 $1,174.90 Median $1,348.96 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,174.90 | $1,348.96 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $537.03 Typical High $588.84 | Professional | 53 · Discontinued | $478.63 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,995.26 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,778.28 | $1,995.26 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $407.38 Typical High $436.52 | Professional | 55 · Aftercare only | $354.81 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $269.15 Typical High $295.12 | Professional | 56 · Pre-op care only | $234.42 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,862.09 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,862.09 | $2,041.74 |
Where Louisiana sits
The same service costs 4.5 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 $16,794KY $3,774
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.