How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,122 to $12,023Professionalmedian $977 · 10th to 90th $724 to $1,288
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 $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $1,318.26 | Professional | None | $954.99 | $977.24 | $1,318.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,011.87 Median $6,165.95 Typical High $12,589.25 | Facility | None | $5,011.87 | $6,165.95 | $12,589.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,202.26 | Professional | None | $954.99 | $1,202.26 | $1,202.26 |
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 $524.81 Median $1,071.52 Typical High $7,762.47 | Facility | None | $524.81 | $1,071.52 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,288.25 | Professional | None | $724.44 | $977.24 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,380.38 | Professional | None | $676.08 | $812.83 | $1,380.38 |
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 $478.63 Median $489.78 Typical High $630.96 | Professional | 52 · Reduced service | $478.63 | $489.78 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $194.98 Typical High $251.19 | Professional | 53 · Discontinued | $190.55 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $741.31 Typical High $933.25 | Professional | 54 · Surgery only | $707.95 | $741.31 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $147.91 Typical High $186.21 | Professional | 55 · Aftercare only | $141.25 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $97.72 Typical High $125.89 | Professional | 56 · Pre-op care only | $95.50 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $691.83 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $660.69 | $691.83 | $870.96 |
Where Louisiana sits
The same service costs 6.0 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 $14,230MT $2,377
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.