How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,318 to $11,749Professionalmedian $813 · 10th to 90th $589 to $1,096
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 $3,715.35 | Facility | None | $741.31 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,071.52 | Professional | None | $741.31 | $794.33 | $1,071.52 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,466.84 Median $6,165.95 Typical High $13,182.57 | Facility | None | $4,466.84 | $6,165.95 | $13,182.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,023.29 | Professional | None | $794.33 | $1,023.29 | $1,023.29 |
Christus Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
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 $616.60 Median $831.76 Typical High $1,096.48 | Professional | None | $616.60 | $831.76 | $1,096.48 |
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 $549.54 Median $676.08 Typical High $1,148.15 | Professional | None | $549.54 | $676.08 | $1,148.15 |
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 $389.05 Median $398.11 Typical High $512.86 | Professional | 52 · Reduced service | $389.05 | $398.11 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $158.49 Typical High $204.17 | Professional | 53 · Discontinued | $154.88 | $158.49 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $602.56 Typical High $758.58 | Professional | 54 · Surgery only | $575.44 | $602.56 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $120.23 Typical High $151.36 | Professional | 55 · Aftercare only | $114.82 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $79.43 Typical High $102.33 | Professional | 56 · Pre-op care only | $77.62 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $562.34 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $537.03 | $562.34 | $707.95 |
Where Louisiana sits
The same service costs 6.8 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 $13,753MT $2,023
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.