How much rates vary
Facilitymedian $1,023 · 10th to 90th $398 to $3,548Professionalmedian $324 · 10th to 90th $245 to $437
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 $398.11 Median $2,691.53 Typical High $3,890.45 | Facility | None | $398.11 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $363.08 | Professional | None | $269.15 | $323.59 | $363.08 |
BCBS Louisiana Setting Facility Modifier None Typical Low $512.86 Median $1,148.15 Typical High $1,621.81 | Facility | None | $512.86 | $1,148.15 | $1,621.81 |
BCBS Louisiana Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $416.87 | Professional | None | $323.59 | $389.05 | $416.87 |
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 $1,047.13 Typical High $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $389.05 | Professional | None | $229.09 | $323.59 | $389.05 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $501.19 | Professional | None | $229.09 | $363.08 | $501.19 |
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 $134.90 Median $162.18 Typical High $173.78 | Professional | 52 · Reduced service | $134.90 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $64.57 Typical High $70.79 | Professional | 53 · Discontinued | $53.70 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $239.88 Typical High $263.03 | Professional | 54 · Surgery only | $199.53 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $47.86 Typical High $52.48 | Professional | 55 · Aftercare only | $40.74 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $32.36 Typical High $35.48 | Professional | 56 · Pre-op care only | $26.92 | $32.36 | $35.48 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | GC · Resident with teaching physician | $229.09 | $229.09 | $229.09 |
Where Louisiana sits
The same service costs 7.5 times more in Alaska 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
AK $5,178MT $694
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.