How much rates vary
Facilitymedian $1,950 · 10th to 90th $871 to $5,370Professionalmedian $363 · 10th to 90th $263 to $490
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 $426.58 Median $1,513.56 Typical High $3,548.13 | Facility | None | $426.58 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $537.03 | Professional | None | $316.23 | $407.38 | $537.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,230.27 Median $2,398.83 Typical High $5,754.40 | Facility | None | $1,230.27 | $2,398.83 | $5,754.40 |
BCBS Louisiana Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $457.09 | Professional | None | $323.59 | $380.19 | $457.09 |
Christus Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $2,187.76 | Facility | None | $501.19 | $831.76 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $478.63 | Professional | None | $239.88 | $331.13 | $478.63 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $562.34 | Professional | None | $257.04 | $363.08 | $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 $162.18 Median $213.80 Typical High $245.47 | Professional | 52 · Reduced service | $162.18 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $85.11 Typical High $97.72 | Professional | 53 · Discontinued | $64.57 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $316.23 Typical High $371.54 | Professional | 54 · Surgery only | $239.88 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $63.10 Typical High $74.13 | Professional | 55 · Aftercare only | $47.86 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $42.66 Typical High $48.98 | Professional | 56 · Pre-op care only | $32.36 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $295.12 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $223.87 | $295.12 | $346.74 |
Where Louisiana sits
The same service costs 6.1 times more in Colorado 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
CO $6,346MT $1,043
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.