How much rates vary
Facilitymedian $1,445 · 10th to 90th $562 to $3,162Professionalmedian $339 · 10th to 90th $200 to $759
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 $1,513.56 Typical High $3,548.13 | Facility | None | $398.11 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $707.95 | Professional | None | $275.42 | $363.08 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $223.87 | Professional | None | $165.96 | $223.87 | $223.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,162.28 | Facility | None | $954.99 | $1,318.26 | $3,162.28 |
BCBS Louisiana Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $758.58 | Professional | None | $257.04 | $426.58 | $758.58 |
Christus Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,584.89 | Facility | None | $512.86 | $794.33 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $346.74 Typical High $776.25 | Professional | None | $194.98 | $346.74 | $776.25 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,467.37 | Facility | None | $446.68 | $954.99 | $3,467.37 |
United Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $645.65 | Professional | None | $177.83 | $346.74 | $645.65 |
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 $134.90 Median $190.55 Typical High $338.84 | Professional | 52 · Reduced service | $134.90 | $190.55 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $75.86 Typical High $134.90 | Professional | 53 · Discontinued | $54.95 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $288.40 Typical High $512.86 | Professional | 54 · Surgery only | $204.17 | $288.40 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $57.54 Typical High $102.33 | Professional | 55 · Aftercare only | $40.74 | $57.54 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $38.02 Typical High $67.61 | Professional | 56 · Pre-op care only | $27.54 | $38.02 | $67.61 |
Where Louisiana sits
The same service costs 4.1 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 $4,142MT $1,002
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.