How much rates vary
Facilitymedian $977 · 10th to 90th $468 to $2,754Professionalmedian $692 · 10th to 90th $501 to $933
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 $630.96 Median $1,479.11 Typical High $3,548.13 | Facility | None | $630.96 | $1,479.11 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $891.25 | Professional | None | $630.96 | $676.08 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,884.03 | Facility | None | $758.58 | $1,096.48 | $2,884.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $891.25 | Professional | None | $660.69 | $831.76 | $891.25 |
Christus Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,584.89 | Facility | None | $524.81 | $870.96 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $954.99 | Professional | None | $549.54 | $724.44 | $954.99 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,398.83 | Facility | None | $275.42 | $645.65 | $2,398.83 |
United Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $954.99 | Professional | None | $457.09 | $575.44 | $954.99 |
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 $316.23 Median $346.74 Typical High $436.52 | Professional | 52 · Reduced service | $316.23 | $346.74 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $138.04 Typical High $173.78 | Professional | 53 · Discontinued | $125.89 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $512.86 Typical High $660.69 | Professional | 54 · Surgery only | $478.63 | $512.86 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $102.33 Typical High $131.83 | Professional | 55 · Aftercare only | $95.50 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $69.18 Typical High $87.10 | Professional | 56 · Pre-op care only | $63.10 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $478.63 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $446.68 | $478.63 | $616.60 |
Where Louisiana sits
The same service costs 4.0 times more in Colorado than in Florida. 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 $4,440FL $1,118
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.