How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,122 to $11,749Professionalmedian $708 · 10th to 90th $525 to $955
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 $1,949.84 Typical High $4,365.16 | Facility | None | $676.08 | $1,949.84 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $954.99 | Professional | None | $676.08 | $707.95 | $954.99 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,073.80 Median $5,128.61 Typical High $12,302.69 | Facility | None | $4,073.80 | $5,128.61 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $891.25 | Professional | None | $691.83 | $891.25 | $891.25 |
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 $1,096.48 Typical High $5,888.44 | Facility | None | $524.81 | $1,096.48 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $954.99 | Professional | None | $537.03 | $724.44 | $954.99 |
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 $478.63 Median $588.84 Typical High $1,000.00 | Professional | None | $478.63 | $588.84 | $1,000.00 |
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 $338.84 Median $354.81 Typical High $446.68 | Professional | 52 · Reduced service | $338.84 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $141.25 Typical High $177.83 | Professional | 53 · Discontinued | $134.90 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $524.81 Typical High $676.08 | Professional | 54 · Surgery only | $512.86 | $524.81 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $104.71 Typical High $134.90 | Professional | 55 · Aftercare only | $102.33 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $70.79 Typical High $89.13 | Professional | 56 · Pre-op care only | $67.61 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $489.78 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $478.63 | $489.78 | $630.96 |
Where Louisiana sits
The same service costs 7.9 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 $13,941MT $1,762
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.