How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,000 to $6,026Professionalmedian $479 · 10th to 90th $331 to $661
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 $575.44 Median $2,398.83 Typical High $3,890.45 | Facility | None | $575.44 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $645.65 | Professional | None | $426.58 | $524.81 | $645.65 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,659.59 Median $3,019.95 Typical High $6,760.83 | Facility | None | $1,659.59 | $3,019.95 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $562.34 | Professional | None | $407.38 | $512.86 | $562.34 |
Christus Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,348.96 Typical High $3,019.95 | Facility | None | $724.44 | $1,348.96 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $645.65 | Professional | None | $269.15 | $416.87 | $645.65 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $676.08 | Professional | None | $316.23 | $446.68 | $676.08 |
3 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 54 · Surgery only Typical Low $316.23 Median $398.11 Typical High $478.63 | Professional | 54 · Surgery only | $316.23 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $79.43 Typical High $97.72 | Professional | 55 · Aftercare only | $63.10 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $52.48 Typical High $64.57 | Professional | 56 · Pre-op care only | $42.66 | $52.48 | $64.57 |
Where Louisiana sits
The same service costs 6.7 times more in Oklahoma 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
OK $7,024MT $1,050
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.