How much rates vary
Facilitymedian $1,585 · 10th to 90th $832 to $5,370Professionalmedian $589 · 10th to 90th $389 to $794
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 $524.81 Median $1,513.56 Typical High $3,548.13 | Facility | None | $524.81 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $758.58 | Professional | None | $501.19 | $616.60 | $758.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $5,623.41 | Facility | None | $1,380.38 | $2,511.89 | $5,623.41 |
BCBS Louisiana Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $707.95 | Professional | None | $512.86 | $630.96 | $707.95 |
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 $2,344.23 | Facility | None | $501.19 | $831.76 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $812.83 | Professional | None | $331.13 | $501.19 | $812.83 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $6,025.60 | Facility | None | $831.76 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $794.33 | Professional | None | $363.08 | $524.81 | $794.33 |
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 $251.19 Median $309.03 Typical High $380.19 | Professional | 52 · Reduced service | $251.19 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $102.33 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $467.74 Typical High $562.34 | Professional | 54 · Surgery only | $380.19 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $93.33 Typical High $114.82 | Professional | 55 · Aftercare only | $75.86 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $61.66 Typical High $75.86 | Professional | 56 · Pre-op care only | $50.12 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $436.52 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $354.81 | $436.52 | $524.81 |
Where Louisiana sits
The same service costs 3.6 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 $5,175MT $1,450
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.