How much rates vary
Facilitymedian $603 · 10th to 90th $78 to $4,677Professionalmedian $537 · 10th to 90th $162 to $1,072
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 $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $691.83 Typical High $933.25 | Professional | None | $169.82 | $691.83 | $933.25 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $549.54 | Professional | None | $131.83 | $131.83 | $549.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $3,548.13 Typical High $6,606.93 | Facility | None | $0.02 | $3,548.13 | $6,606.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $1,000.00 | Professional | None | $199.53 | $263.03 | $1,000.00 |
Christus Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $1,995.26 | Facility | None | $501.19 | $851.14 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $371.54 Typical High $891.25 | Professional | None | $144.54 | $371.54 | $891.25 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None Typical Low $154.88 Median $645.65 Typical High $1,258.93 | Professional | None | $154.88 | $645.65 | $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 $85.11 Median $269.15 Typical High $467.74 | Professional | 52 · Reduced service | $85.11 | $269.15 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $107.15 Typical High $186.21 | Professional | 53 · Discontinued | $33.88 | $107.15 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $398.11 Typical High $691.83 | Professional | 54 · Surgery only | $125.89 | $398.11 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $79.43 Typical High $138.04 | Professional | 55 · Aftercare only | $25.12 | $79.43 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $53.70 Typical High $93.33 | Professional | 56 · Pre-op care only | $16.98 | $53.70 | $93.33 |
Where Louisiana sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $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.