How much rates vary
Facilitymedian $1,660 · 10th to 90th $513 to $5,129Professionalmedian $324 · 10th to 90th $234 to $427
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 $457.09 Median $1,513.56 Typical High $3,548.13 | Facility | None | $457.09 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $436.52 | Professional | None | $316.23 | $323.59 | $436.52 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,096.48 Median $2,951.21 Typical High $6,760.83 | Facility | None | $1,096.48 | $2,951.21 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $389.05 | Professional | None | $309.03 | $389.05 | $389.05 |
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 $977.24 Typical High $1,621.81 | Facility | None | $524.81 | $977.24 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $426.58 | Professional | None | $239.88 | $323.59 | $426.58 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $457.09 | Professional | None | $213.80 | $263.03 | $457.09 |
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 $158.49 Median $162.18 Typical High $208.93 | Professional | 52 · Reduced service | $158.49 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $64.57 Typical High $83.18 | Professional | 53 · Discontinued | $63.10 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $245.47 Typical High $309.03 | Professional | 54 · Surgery only | $234.42 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $48.98 Typical High $61.66 | Professional | 55 · Aftercare only | $46.77 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $32.36 Typical High $41.69 | Professional | 56 · Pre-op care only | $31.62 | $32.36 | $41.69 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 59 · Distinct service | $263.03 | $263.03 | $263.03 |
Where Louisiana sits
The same service costs 6.2 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 $4,689MT $752
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.