How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,023 to $6,026Professionalmedian $537 · 10th to 90th $398 to $724
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 $3,715.35 | Facility | None | $616.60 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $724.44 | Professional | None | $512.86 | $537.03 | $724.44 |
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 $524.81 Median $660.69 Typical High $660.69 | Professional | None | $524.81 | $660.69 | $660.69 |
Christus Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
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 $407.38 Median $549.54 Typical High $724.44 | Professional | None | $407.38 | $549.54 | $724.44 |
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 $371.54 Median $457.09 Typical High $758.58 | Professional | None | $371.54 | $457.09 | $758.58 |
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 $389.05 Median $407.38 Typical High $512.86 | Professional | 54 · Surgery only | $389.05 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $380.19 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $363.08 | $380.19 | $478.63 |
Where Louisiana sits
The same service costs 5.1 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 $6,741MT $1,322
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.