How much rates vary
Facilitymedian $1,445 · 10th to 90th $407 to $16,596Professionalmedian $372 · 10th to 90th $263 to $501
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 $281.84 Median $363.08 Typical High $426.58 | Professional | None | $281.84 | $363.08 | $426.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8,709.64 Median $15,488.17 Typical High $21,877.62 | Facility | None | $8,709.64 | $15,488.17 | $21,877.62 |
BCBS Louisiana Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $489.78 | Professional | None | $338.84 | $436.52 | $489.78 |
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 $1,621.81 | Facility | None | $524.81 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $457.09 | Professional | None | $208.93 | $323.59 | $457.09 |
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 $251.19 Median $331.13 Typical High $524.81 | Professional | None | $251.19 | $331.13 | $524.81 |
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 $141.25 Median $147.91 Typical High $194.98 | Professional | 52 · Reduced service | $141.25 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $58.88 Typical High $77.62 | Professional | 53 · Discontinued | $56.23 | $58.88 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $218.78 Typical High $288.40 | Professional | 54 · Surgery only | $213.80 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $43.65 Typical High $57.54 | Professional | 55 · Aftercare only | $42.66 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $29.51 Typical High $38.90 | Professional | 56 · Pre-op care only | $28.18 | $29.51 | $38.90 |
Where Louisiana sits
The same service costs 32.0 times more in Maine 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
ME $26,674MT $834
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.