How much rates vary
Facilitymedian $1,230 · 10th to 90th $525 to $4,898Professionalmedian $282 · 10th to 90th $204 to $407
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 $575.44 Median $2,454.71 Typical High $4,365.16 | Facility | None | $575.44 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $323.59 | Professional | None | $213.80 | $251.19 | $323.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $831.76 Median $1,380.38 Typical High $6,165.95 | Facility | None | $831.76 | $1,380.38 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $371.54 | Professional | None | $245.47 | $331.13 | $371.54 |
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 $588.84 Median $1,000.00 Typical High $1,621.81 | Facility | None | $588.84 | $1,000.00 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $346.74 | Professional | None | $154.88 | $251.19 | $346.74 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $588.84 | Professional | None | $190.55 | $288.40 | $588.84 |
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 $107.15 Median $109.65 Typical High $144.54 | Professional | 52 · Reduced service | $107.15 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $57.54 | Professional | 53 · Discontinued | $42.66 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $165.96 Typical High $218.78 | Professional | 54 · Surgery only | $158.49 | $165.96 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.11 Typical High $43.65 | Professional | 55 · Aftercare only | $31.62 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.88 Typical High $28.84 | Professional | 56 · Pre-op care only | $21.38 | $21.88 | $28.84 |
Where Louisiana sits
The same service costs 7.6 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 $4,681MT $618
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.