How much rates vary
Facilitymedian $1,660 · 10th to 90th $501 to $3,890Professionalmedian $158 · 10th to 90th $79 to $302
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 $114.82 Median $1,096.48 Typical High $3,467.37 | Facility | None | $114.82 | $1,096.48 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $234.42 | Professional | None | $81.28 | $165.96 | $234.42 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $208.93 | Professional | None | $58.88 | $61.66 | $208.93 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $4,570.88 | Facility | None | $1,230.27 | $1,548.82 | $4,570.88 |
BCBS Louisiana Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $302.00 | Professional | None | $102.33 | $147.91 | $302.00 |
Christus Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $1,995.26 | Facility | None | $524.81 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $134.90 Typical High $281.84 | Professional | None | $74.13 | $134.90 | $281.84 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $4,365.16 | Facility | None | $446.68 | $954.99 | $4,365.16 |
United Setting Professional Modifier None Typical Low $77.62 Median $162.18 Typical High $338.84 | Professional | None | $77.62 | $162.18 | $338.84 |
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 $40.74 Median $69.18 Typical High $107.15 | Professional | 52 · Reduced service | $40.74 | $69.18 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $27.54 Typical High $42.66 | Professional | 53 · Discontinued | $16.22 | $27.54 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $104.71 Typical High $162.18 | Professional | 54 · Surgery only | $60.26 | $104.71 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $20.89 Typical High $32.36 | Professional | 55 · Aftercare only | $12.30 | $20.89 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $13.80 Typical High $21.38 | Professional | 56 · Pre-op care only | $8.13 | $13.80 | $21.38 |
Where Louisiana sits
The same service costs 9.7 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 $4,351MT $447
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.