How much rates vary
Facilitymedian $2,239 · 10th to 90th $646 to $6,761Professionalmedian $550 · 10th to 90th $209 to $1,000
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 $562.34 Median $2,398.83 Typical High $3,890.45 | Facility | None | $562.34 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $660.69 Typical High $851.14 | Professional | None | $208.93 | $660.69 | $851.14 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,905.46 | $3,019.95 | $6,606.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $1,000.00 | Professional | None | $245.47 | $354.81 | $1,000.00 |
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 $380.19 Median $549.54 Typical High $794.33 | Facility | None | $380.19 | $549.54 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $398.11 Typical High $912.01 | Professional | None | $177.83 | $398.11 | $912.01 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $194.98 Median $562.34 Typical High $1,258.93 | Professional | None | $194.98 | $562.34 | $1,258.93 |
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 $269.15 Typical High $426.58 | Professional | 52 · Reduced service | $102.33 | $269.15 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $109.65 Typical High $169.82 | Professional | 53 · Discontinued | $41.69 | $109.65 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $407.38 Typical High $630.96 | Professional | 54 · Surgery only | $154.88 | $407.38 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $81.28 Typical High $125.89 | Professional | 55 · Aftercare only | $30.90 | $81.28 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $54.95 Typical High $85.11 | Professional | 56 · Pre-op care only | $20.42 | $54.95 | $85.11 |
Where Louisiana sits
The same service costs 6.9 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 $7,377MT $1,063
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.