How much rates vary
Facilitymedian $1,175 · 10th to 90th $537 to $3,802Professionalmedian $427 · 10th to 90th $302 to $562
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 $489.78 Median $1,513.56 Typical High $3,548.13 | Facility | None | $489.78 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $549.54 | Professional | None | $389.05 | $407.38 | $549.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $977.24 Median $1,412.54 Typical High $4,265.80 | Facility | None | $977.24 | $1,412.54 | $4,265.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $524.81 | Professional | None | $407.38 | $524.81 | $524.81 |
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 $501.19 Median $794.33 Typical High $1,548.82 | Facility | None | $501.19 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $562.34 | Professional | None | $316.23 | $426.58 | $562.34 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $575.44 | Professional | None | $281.84 | $338.84 | $575.44 |
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 $194.98 Median $204.17 Typical High $257.04 | Professional | 52 · Reduced service | $194.98 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $302.00 Typical High $389.05 | Professional | 54 · Surgery only | $295.12 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $61.66 Typical High $77.62 | Professional | 55 · Aftercare only | $58.88 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $40.74 Typical High $51.29 | Professional | 56 · Pre-op care only | $38.90 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $281.84 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $275.42 | $281.84 | $363.08 |
Where Louisiana sits
The same service costs 4.6 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 $4,822MT $1,050
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.