How much rates vary
Facilitymedian $977 · 10th to 90th $219 to $2,754Professionalmedian $575 · 10th to 90th $407 to $759
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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $707.95 | Professional | None | $512.86 | $575.44 | $707.95 |
BCBS Louisiana Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $2,818.38 | Facility | None | $691.83 | $1,096.48 | $2,818.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $758.58 | Professional | None | $537.03 | $691.83 | $758.58 |
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 $331.13 Median $645.65 Typical High $1,548.82 | Facility | None | $331.13 | $645.65 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $812.83 | Professional | None | $426.58 | $588.84 | $812.83 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,995.26 | Facility | None | $91.20 | $407.38 | $1,995.26 |
United Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $758.58 | Professional | None | $371.54 | $457.09 | $758.58 |
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 $257.04 Median $288.40 Typical High $354.81 | Professional | 52 · Reduced service | $257.04 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $114.82 Typical High $144.54 | Professional | 53 · Discontinued | $102.33 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $436.52 Typical High $537.03 | Professional | 54 · Surgery only | $389.05 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $87.10 Typical High $107.15 | Professional | 55 · Aftercare only | $77.62 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $57.54 Typical High $70.79 | Professional | 56 · Pre-op care only | $51.29 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $407.38 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $363.08 | $407.38 | $501.19 |
Where Louisiana sits
The same service costs 5.3 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 $4,377FL $831
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.