How much rates vary
Facilitymedian $3,890 · 10th to 90th $832 to $7,943Professionalmedian $550 · 10th to 90th $380 to $661
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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $630.96 | Professional | None | $478.63 | $562.34 | $630.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,584.89 Median $3,890.45 Typical High $6,165.95 | Facility | None | $1,584.89 | $3,890.45 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $630.96 | Professional | None | $512.86 | $630.96 | $630.96 |
Christus Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $7,079.46 | Facility | None | $501.19 | $831.76 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $707.95 | Professional | None | $389.05 | $446.68 | $707.95 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $7,585.78 | Facility | None | $831.76 | $1,548.82 | $7,585.78 |
United Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $741.31 | Professional | None | $323.59 | $426.58 | $741.31 |
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 $275.42 Median $281.84 Typical High $316.23 | Professional | 52 · Reduced service | $275.42 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $112.20 Typical High $125.89 | Professional | 53 · Discontinued | $109.65 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $426.58 Typical High $467.74 | Professional | 54 · Surgery only | $407.38 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $85.11 Typical High $95.50 | Professional | 55 · Aftercare only | $81.28 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $56.23 Typical High $63.10 | Professional | 56 · Pre-op care only | $54.95 | $56.23 | $63.10 |
Where Louisiana sits
The same service costs 6.9 times more in Alaska 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
AK $8,267MT $1,191
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.