How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,072 to $10,965Professionalmedian $1,175 · 10th to 90th $832 to $1,549
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 $676.08 Median $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,122.02 | $1,513.56 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $12,302.69 | Facility | None | $4,073.80 | $4,786.30 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,148.15 | $1,445.44 | $1,445.44 |
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 $645.65 Median $1,348.96 Typical High $5,888.44 | Facility | None | $645.65 | $1,348.96 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,548.82 | Professional | None | $870.96 | $1,174.90 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $9,549.93 | Facility | None | $1,047.13 | $2,238.72 | $9,549.93 |
United Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,548.82 | Professional | None | $794.33 | $977.24 | $1,548.82 |
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 $549.54 Median $562.34 Typical High $724.44 | Professional | 52 · Reduced service | $549.54 | $562.34 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $288.40 | Professional | 53 · Discontinued | $218.78 | $223.87 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $851.14 Typical High $1,071.52 | Professional | 54 · Surgery only | $812.83 | $851.14 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $169.82 Typical High $213.80 | Professional | 55 · Aftercare only | $162.18 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $112.20 Typical High $144.54 | Professional | 56 · Pre-op care only | $109.65 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $794.33 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $758.58 | $794.33 | $1,000.00 |
Where Louisiana sits
The same service costs 4.2 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 $12,508MT $2,994
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.