How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,318 to $11,749Professionalmedian $871 · 10th to 90th $646 to $1,175
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 $741.31 Median $1,862.09 Typical High $3,801.89 | Facility | None | $741.31 | $1,862.09 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $1,174.90 | Professional | None | $831.76 | $870.96 | $1,174.90 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $13,182.57 | Facility | None | $4,677.35 | $6,309.57 | $13,182.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,096.48 | Professional | None | $851.14 | $1,096.48 | $1,096.48 |
Christus Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $7,413.10 | Facility | None | $524.81 | $1,071.52 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,174.90 | Professional | None | $660.69 | $891.25 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,230.27 | Professional | None | $602.56 | $724.44 | $1,230.27 |
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 $416.87 Median $426.58 Typical High $549.54 | Professional | 52 · Reduced service | $416.87 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $173.78 Typical High $218.78 | Professional | 53 · Discontinued | $165.96 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $645.65 Typical High $831.76 | Professional | 54 · Surgery only | $616.60 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $128.82 Typical High $165.96 | Professional | 55 · Aftercare only | $125.89 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $87.10 Typical High $109.65 | Professional | 56 · Pre-op care only | $83.18 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $602.56 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $575.44 | $602.56 | $776.25 |
Where Louisiana sits
The same service costs 6.4 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 $13,816MT $2,168
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.