How much rates vary
Facilitymedian $182 · 10th to 90th $95 to $1,122Professionalmedian $162 · 10th to 90th $95 to $251
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 $186.21 Median $1,288.25 Typical High $3,467.37 | Facility | None | $186.21 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $208.93 | Professional | None | $109.65 | $151.36 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
BCBS Louisiana Setting Facility Modifier None Typical Low $109.65 Median $194.98 Typical High $446.68 | Facility | None | $109.65 | $194.98 | $446.68 |
BCBS Louisiana Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $194.98 | Professional | None | $107.15 | $154.88 | $194.98 |
Christus Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $186.21 | Facility | None | $75.86 | $100.00 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $288.40 | Professional | None | $95.50 | $162.18 | $288.40 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $91.20 Median $154.88 Typical High $269.15 | Professional | None | $91.20 | $154.88 | $269.15 |
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 $54.95 Median $69.18 Typical High $102.33 | Professional | 52 · Reduced service | $54.95 | $69.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $27.54 Typical High $40.74 | Professional | 53 · Discontinued | $21.88 | $27.54 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $104.71 Typical High $154.88 | Professional | 54 · Surgery only | $83.18 | $104.71 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $20.89 Typical High $30.90 | Professional | 55 · Aftercare only | $16.60 | $20.89 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $13.80 Typical High $20.42 | Professional | 56 · Pre-op care only | $10.96 | $13.80 | $20.42 |
Where Louisiana sits
The same service costs 11.6 times more in Hawaii 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
HI $3,027MD $261
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.