How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,047 to $10,965Professionalmedian $977 · 10th to 90th $708 to $1,318
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 $676.08 Median $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,318.26 | Professional | None | $933.25 | $977.24 | $1,318.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,073.80 Median $4,570.88 Typical High $12,302.69 | Facility | None | $4,073.80 | $4,570.88 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | None | $954.99 | $1,230.27 | $1,230.27 |
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 $645.65 Median $1,348.96 Typical High $5,888.44 | Facility | None | $645.65 | $1,348.96 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,318.26 | Professional | None | $741.31 | $1,000.00 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $9,549.93 | Facility | None | $1,047.13 | $2,238.72 | $9,549.93 |
United Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,380.38 | Professional | None | $676.08 | $812.83 | $1,380.38 |
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 $467.74 Median $489.78 Typical High $616.60 | Professional | 52 · Reduced service | $467.74 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $194.98 Typical High $245.47 | Professional | 53 · Discontinued | $186.21 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $724.44 Typical High $933.25 | Professional | 54 · Surgery only | $707.95 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $144.54 Typical High $186.21 | Professional | 55 · Aftercare only | $141.25 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $97.72 Typical High $123.03 | Professional | 56 · Pre-op care only | $93.33 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $676.08 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $660.69 | $676.08 | $870.96 |
Where Louisiana sits
The same service costs 5.1 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 $12,267MT $2,405
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.