How much rates vary
Facilitymedian $1,122 · 10th to 90th $537 to $3,236Professionalmedian $229 · 10th to 90th $162 to $324
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 $3,548.13 | Facility | None | $446.68 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $316.23 | Professional | None | $204.17 | $257.04 | $316.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $794.33 Median $1,445.44 Typical High $3,162.28 | Facility | None | $794.33 | $1,445.44 | $3,162.28 |
BCBS Louisiana Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $263.03 | Professional | None | $190.55 | $239.88 | $263.03 |
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 $794.33 Typical High $1,479.11 | Facility | None | $501.19 | $794.33 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $302.00 | Professional | None | $125.89 | $204.17 | $302.00 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,467.37 | Facility | None | $446.68 | $954.99 | $3,467.37 |
United Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $331.13 | Professional | None | $154.88 | $218.78 | $331.13 |
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 $102.33 Median $128.82 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $51.29 Typical High $63.10 | Professional | 53 · Discontinued | $40.74 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $194.98 Typical High $234.42 | Professional | 54 · Surgery only | $154.88 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $38.90 Typical High $46.77 | Professional | 55 · Aftercare only | $30.90 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $25.70 Typical High $31.62 | Professional | 56 · Pre-op care only | $20.42 | $25.70 | $31.62 |
Where Louisiana sits
The same service costs 9.2 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 $4,822MT $526
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.