How much rates vary
Facilitymedian $2,754 · 10th to 90th $891 to $6,026Professionalmedian $331 · 10th to 90th $229 to $468
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 $446.68 Median $1,513.56 Typical High $3,715.35 | Facility | None | $446.68 | $1,513.56 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $549.54 | Professional | None | $288.40 | $363.08 | $549.54 |
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 $281.84 Median $354.81 Typical High $389.05 | Professional | None | $281.84 | $354.81 | $389.05 |
Christus Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $2,691.53 | Facility | None | $501.19 | $831.76 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $446.68 | Professional | None | $186.21 | $288.40 | $446.68 |
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 $218.78 Median $302.00 Typical High $489.78 | Professional | None | $218.78 | $302.00 | $489.78 |
5 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 $144.54 Median $181.97 Typical High $223.87 | Professional | 52 · Reduced service | $144.54 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $72.44 Typical High $89.13 | Professional | 53 · Discontinued | $58.88 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $269.15 Typical High $331.13 | Professional | 54 · Surgery only | $218.78 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $54.95 Typical High $66.07 | Professional | 55 · Aftercare only | $43.65 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $36.31 Typical High $44.67 | Professional | 56 · Pre-op care only | $28.84 | $36.31 | $44.67 |
Where Louisiana sits
The same service costs 8.5 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 $6,252MT $735
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.