How much rates vary
Facilitymedian $2,692 · 10th to 90th $933 to $5,754Professionalmedian $575 · 10th to 90th $389 to $851
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 $549.54 Median $1,862.09 Typical High $3,715.35 | Facility | None | $549.54 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $812.83 | Professional | None | $446.68 | $616.60 | $812.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $6,456.54 | Facility | None | $1,819.70 | $2,818.38 | $6,456.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $851.14 | Professional | None | $457.09 | $575.44 | $851.14 |
Christus Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $2,691.53 | Facility | None | $524.81 | $1,071.52 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $912.01 | Professional | None | $398.11 | $602.56 | $912.01 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $812.83 | Professional | None | $338.84 | $524.81 | $812.83 |
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 $218.78 Median $309.03 Typical High $407.38 | Professional | 52 · Reduced service | $218.78 | $309.03 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $123.03 Typical High $162.18 | Professional | 53 · Discontinued | $89.13 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $467.74 Typical High $616.60 | Professional | 54 · Surgery only | $331.13 | $467.74 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $93.33 Typical High $123.03 | Professional | 55 · Aftercare only | $66.07 | $93.33 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $61.66 Typical High $81.28 | Professional | 56 · Pre-op care only | $44.67 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $436.52 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $309.03 | $436.52 | $575.44 |
Where Louisiana sits
The same service costs 4.7 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 $6,438MT $1,383
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.