How much rates vary
Facilitymedian $1,096 · 10th to 90th $389 to $4,074Professionalmedian $1,995 · 10th to 90th $1,318 to $2,399
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 $4,168.69 | Facility | None | $676.08 | $2,691.53 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,819.70 | $2,089.30 | $2,290.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,398.83 | $2,398.83 |
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 $1,445.44 Typical High $3,019.95 | Facility | None | $758.58 | $1,445.44 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,737.80 | $2,238.72 |
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 $1,202.26 Median $1,584.89 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,584.89 | $2,754.23 |
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 $912.01 Median $1,047.13 Typical High $1,122.02 | Professional | 52 · Reduced service | $912.01 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $416.87 Typical High $457.09 | Professional | 53 · Discontinued | $363.08 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,548.82 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,380.38 | $1,548.82 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $316.23 Typical High $338.84 | Professional | 55 · Aftercare only | $275.42 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $208.93 Typical High $229.09 | Professional | 56 · Pre-op care only | $181.97 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,479.11 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,479.11 | $1,584.89 |
Where Louisiana sits
The same service costs 16.4 times more in Maine than in Delaware. 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 $34,058DE $2,083
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.