How much rates vary
Facilitymedian $15,136 · 10th to 90th $1,000 to $34,674Professionalmedian $447 · 10th to 90th $288 to $501
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 $416.87 Median $457.09 Typical High $501.19 | Professional | None | $416.87 | $457.09 | $501.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $12,302.69 Median $19,054.61 Typical High $39,810.72 | Facility | None | $12,302.69 | $19,054.61 | $39,810.72 |
BCBS Louisiana Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $489.78 | Professional | None | $389.05 | $489.78 | $489.78 |
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 $676.08 Typical High $22,908.68 | Facility | None | $346.74 | $676.08 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $489.78 | Professional | None | $309.03 | $371.54 | $489.78 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $7,762.47 Typical High $26,302.68 | Facility | None | $1,659.59 | $7,762.47 | $26,302.68 |
United Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $562.34 | Professional | None | $269.15 | $346.74 | $562.34 |
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 $199.53 Median $229.09 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $100.00 | Professional | 53 · Discontinued | $81.28 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $346.74 Typical High $371.54 | Professional | 54 · Surgery only | $302.00 | $346.74 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $69.18 Typical High $74.13 | Professional | 55 · Aftercare only | $60.26 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $45.71 Typical High $50.12 | Professional | 56 · Pre-op care only | $39.81 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $323.59 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $281.84 | $323.59 | $346.74 |
Where Louisiana sits
The same service costs 29.1 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 $30,626MT $1,051
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.