How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,023 to $6,026Professionalmedian $617 · 10th to 90th $457 to $832
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 $616.60 Median $1,862.09 Typical High $3,801.89 | Facility | None | $616.60 | $1,862.09 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $831.76 | Professional | None | $549.54 | $616.60 | $831.76 |
Ambetter Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $7,244.36 | Facility | None | $1,380.38 | $2,630.27 | $7,244.36 |
BCBS Louisiana Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $758.58 | Professional | None | $602.56 | $758.58 | $758.58 |
Christus Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,884.03 | Facility | None | $758.58 | $1,513.56 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $831.76 | Professional | None | $467.74 | $630.96 | $831.76 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $5,888.44 | Facility | None | $851.14 | $1,584.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $870.96 | Professional | None | $426.58 | $512.86 | $870.96 |
2 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 54 · Surgery only Typical Low $446.68 Median $467.74 Typical High $588.84 | Professional | 54 · Surgery only | $446.68 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $436.52 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $416.87 | $436.52 | $549.54 |
Where Louisiana sits
The same service costs 4.4 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 $6,812MT $1,536
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.