How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,349 to $11,749Professionalmedian $1,122 · 10th to 90th $813 to $1,514
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 $1,023.29 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,122.02 | $1,513.56 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $933.25 Typical High $1,047.13 | Professional | None | $144.54 | $933.25 | $1,047.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,677.35 Median $6,165.95 Typical High $12,882.50 | Facility | None | $4,677.35 | $6,165.95 | $12,882.50 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,412.54 | $1,412.54 |
Christus Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $7,585.78 | Facility | None | $524.81 | $1,071.52 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,513.56 | Professional | None | $851.14 | $1,148.15 | $1,513.56 |
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 $758.58 Median $933.25 Typical High $1,584.89 | Professional | None | $758.58 | $933.25 | $1,584.89 |
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 $537.03 Median $562.34 Typical High $707.95 | Professional | 52 · Reduced service | $537.03 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $223.87 Typical High $281.84 | Professional | 53 · Discontinued | $213.80 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $831.76 Typical High $1,071.52 | Professional | 54 · Surgery only | $812.83 | $831.76 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $165.96 Typical High $213.80 | Professional | 55 · Aftercare only | $162.18 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $112.20 Typical High $141.25 | Professional | 56 · Pre-op care only | $107.15 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $776.25 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $758.58 | $776.25 | $1,000.00 |
Where Louisiana sits
The same service costs 5.5 times more in Colorado than in Hawaii. 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 $14,085HI $2,567
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.