How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,549 to $10,471Professionalmedian $1,585 · 10th to 90th $1,202 to $2,455
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 $891.25 Median $2,951.21 Typical High $5,370.32 | Facility | None | $891.25 | $2,951.21 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,412.54 | $1,584.89 | $2,089.30 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $11,481.54 | Facility | None | $3,311.31 | $5,011.87 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,380.38 | $1,659.59 | $1,819.70 |
Christus Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,862.09 Typical High $5,248.07 | Facility | None | $933.25 | $1,862.09 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,513.56 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,513.56 | $2,454.71 |
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 $707.95 Median $794.33 Typical High $977.24 | Professional | 52 · Reduced service | $707.95 | $794.33 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $323.59 Typical High $389.05 | Professional | 53 · Discontinued | $288.40 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,202.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,071.52 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $239.88 Typical High $295.12 | Professional | 55 · Aftercare only | $213.80 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $158.49 Typical High $194.98 | Professional | 56 · Pre-op care only | $141.25 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,122.02 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,122.02 | $1,380.38 |
Where Louisiana sits
The same service costs 3.0 times more in Alaska than in Vermont. 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 $12,999VT $4,294
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.