How much rates vary
Facilitymedian $1,514 · 10th to 90th $871 to $4,898Professionalmedian $1,000 · 10th to 90th $692 to $1,202
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 $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,174.90 | Professional | None | $933.25 | $1,071.52 | $1,174.90 |
BCBS Louisiana Setting Facility Modifier None Typical Low $954.99 Median $1,737.80 Typical High $4,897.79 | Facility | None | $954.99 | $1,737.80 | $4,897.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | None | $933.25 | $1,202.26 | $1,202.26 |
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 $891.25 Typical High $1,659.59 | Facility | None | $524.81 | $891.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,148.15 | Professional | None | $707.95 | $870.96 | $1,148.15 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,754.40 | Facility | None | $851.14 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,348.96 | Professional | None | $630.96 | $794.33 | $1,348.96 |
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 $467.74 Median $537.03 Typical High $575.44 | Professional | 52 · Reduced service | $467.74 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $213.80 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $707.95 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | 55 · Aftercare only | $141.25 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $107.15 Typical High $117.49 | Professional | 56 · Pre-op care only | $93.33 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $660.69 | $741.31 | $812.83 |
Where Louisiana sits
The same service costs 3.0 times more in Alaska than in Maryland. 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 $5,643MD $1,856
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.