How much rates vary
Facilitymedian $2,042 · 10th to 90th $776 to $5,888Professionalmedian $525 · 10th to 90th $347 to $759
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 $501.19 Median $1,513.56 Typical High $3,467.37 | Facility | None | $501.19 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $724.44 | Professional | None | $398.11 | $562.34 | $724.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $6,309.57 | Facility | None | $1,819.70 | $2,818.38 | $6,309.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $758.58 | Professional | None | $416.87 | $524.81 | $758.58 |
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 $363.08 Median $549.54 Typical High $812.83 | Professional | None | $363.08 | $549.54 | $812.83 |
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 $302.00 Median $467.74 Typical High $724.44 | Professional | None | $302.00 | $467.74 | $724.44 |
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 $199.53 Median $281.84 Typical High $363.08 | Professional | 52 · Reduced service | $199.53 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $112.20 Typical High $144.54 | Professional | 53 · Discontinued | $79.43 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $416.87 Typical High $549.54 | Professional | 54 · Surgery only | $302.00 | $416.87 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $85.11 Typical High $109.65 | Professional | 55 · Aftercare only | $60.26 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $56.23 Typical High $72.44 | Professional | 56 · Pre-op care only | $39.81 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $389.05 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $281.84 | $389.05 | $512.86 |
Where Louisiana sits
The same service costs 5.3 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 $6,378MT $1,213
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.