How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,318 to $12,589Professionalmedian $832 · 10th to 90th $646 to $1,122
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 $851.14 Median $2,818.38 Typical High $5,370.32 | Facility | None | $851.14 | $2,818.38 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,148.15 | Professional | None | $851.14 | $933.25 | $1,148.15 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,897.79 Median $5,754.40 Typical High $18,197.01 | Facility | None | $4,897.79 | $5,754.40 | $18,197.01 |
BCBS Louisiana Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $977.24 | Professional | None | $794.33 | $912.01 | $977.24 |
Christus Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $6,456.54 | Facility | None | $524.81 | $1,174.90 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $870.96 | Professional | None | $691.83 | $758.58 | $870.96 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,090.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,479.11 | Professional | None | $575.44 | $724.44 | $1,479.11 |
5 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 $426.58 Median $467.74 Typical High $549.54 | Professional | 52 · Reduced service | $426.58 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $186.21 Typical High $223.87 | Professional | 53 · Discontinued | $169.82 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $691.83 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $691.83 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $165.96 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $93.33 Typical High $109.65 | Professional | 56 · Pre-op care only | $85.11 | $93.33 | $109.65 |
Where Louisiana sits
The same service costs 5.9 times more in Alaska 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
AK $12,304MT $2,095
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.