How much rates vary
Facilitymedian $11,220 · 10th to 90th $933 to $27,542Professionalmedian $724 · 10th to 90th $269 to $5,370
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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $1,288.25 Typical High $2,951.21 | Professional | None | $512.86 | $1,288.25 | $2,951.21 |
BCBS Louisiana Setting Facility Modifier None Typical Low $9,772.37 Median $13,803.84 Typical High $38,904.51 | Facility | None | $9,772.37 | $13,803.84 | $38,904.51 |
BCBS Louisiana Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $5,623.41 | Professional | None | $562.34 | $724.44 | $5,623.41 |
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 $346.74 Median $707.95 Typical High $14,791.08 | Facility | None | $346.74 | $707.95 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $707.95 Typical High $5,370.32 | Professional | None | $363.08 | $707.95 | $5,370.32 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $13,803.84 | Facility | None | $1,348.96 | $3,890.45 | $13,803.84 |
United Setting Professional Modifier None Typical Low $181.97 Median $371.54 Typical High $2,630.27 | Professional | None | $181.97 | $371.54 | $2,630.27 |
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 $257.04 Median $524.81 Typical High $1,479.11 | Professional | 52 · Reduced service | $257.04 | $524.81 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $213.80 Typical High $588.84 | Professional | 53 · Discontinued | $104.71 | $213.80 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $794.33 Typical High $2,187.76 | Professional | 54 · Surgery only | $389.05 | $794.33 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $158.49 Typical High $436.52 | Professional | 55 · Aftercare only | $77.62 | $158.49 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $104.71 Typical High $295.12 | Professional | 56 · Pre-op care only | $51.29 | $104.71 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $741.31 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $363.08 | $741.31 | $2,041.74 |
Where Louisiana sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.