How much rates vary
Facilitymedian $4,786 · 10th to 90th $525 to $10,965Professionalmedian $1,288 · 10th to 90th $871 to $1,549
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 $1,202.26 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,380.38 | $1,513.56 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,786.30 Median $6,025.60 Typical High $12,302.69 | Facility | None | $4,786.30 | $6,025.60 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,548.82 | $1,548.82 |
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 $933.25 Median $1,148.15 Typical High $1,479.11 | Professional | None | $933.25 | $1,148.15 | $1,479.11 |
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 $794.33 Median $1,023.29 Typical High $1,737.80 | Professional | None | $794.33 | $1,023.29 | $1,737.80 |
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 $602.56 Median $691.83 Typical High $758.58 | Professional | 52 · Reduced service | $602.56 | $691.83 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $275.42 Typical High $302.00 | Professional | 53 · Discontinued | $245.47 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,047.13 Typical High $1,122.02 | Professional | 54 · Surgery only | $912.01 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $208.93 Typical High $223.87 | Professional | 55 · Aftercare only | $181.97 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $138.04 Typical High $151.36 | Professional | 56 · Pre-op care only | $120.23 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $977.24 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $851.14 | $977.24 | $1,047.13 |
Where Louisiana sits
The same service costs 10.7 times more in Maine than in Texas. 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 $15,939TX $1,488
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.