How much rates vary
Facilitymedian $2,570 · 10th to 90th $832 to $6,026Professionalmedian $589 · 10th to 90th $380 to $871
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 $512.86 Median $1,513.56 Typical High $3,548.13 | Facility | None | $512.86 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $933.25 | Professional | None | $489.78 | $660.69 | $933.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $6,456.54 | Facility | None | $2,238.72 | $2,818.38 | $6,456.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $831.76 | Professional | None | $436.52 | $549.54 | $831.76 |
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 $831.76 Typical High $2,630.27 | Facility | None | $501.19 | $831.76 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $870.96 | Professional | None | $380.19 | $588.84 | $870.96 |
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 $354.81 Median $588.84 Typical High $933.25 | Professional | None | $354.81 | $588.84 | $933.25 |
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 $245.47 Median $338.84 Typical High $467.74 | Professional | 52 · Reduced service | $245.47 | $338.84 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $138.04 Typical High $190.55 | Professional | 53 · Discontinued | $97.72 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $512.86 Typical High $707.95 | Professional | 54 · Surgery only | $363.08 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $102.33 Typical High $141.25 | Professional | 55 · Aftercare only | $74.13 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $67.61 Typical High $93.33 | Professional | 56 · Pre-op care only | $48.98 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $478.63 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $338.84 | $478.63 | $660.69 |
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 $6,451MT $1,460
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.