How much rates vary
Facilitymedian $3,890 · 10th to 90th $955 to $9,333Professionalmedian $646 · 10th to 90th $447 to $776
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 $660.69 Median $1,862.09 Typical High $3,801.89 | Facility | None | $660.69 | $1,862.09 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $741.31 | Professional | None | $537.03 | $660.69 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $758.58 | Professional | None | $457.09 | $457.09 | $758.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,235.94 Median $4,677.35 Typical High $10,471.29 | Facility | None | $3,235.94 | $4,677.35 | $10,471.29 |
BCBS Louisiana Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $741.31 | Professional | None | $602.56 | $741.31 | $741.31 |
Christus Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,511.89 Typical High $6,606.93 | Facility | None | $588.84 | $2,511.89 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $831.76 | Professional | None | $457.09 | $524.81 | $831.76 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $7,585.78 | Facility | None | $851.14 | $1,584.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $870.96 | Professional | None | $389.05 | $501.19 | $870.96 |
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 $323.59 Median $331.13 Typical High $371.54 | Professional | 52 · Reduced service | $323.59 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $134.90 Typical High $147.91 | Professional | 53 · Discontinued | $128.82 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $501.19 Typical High $562.34 | Professional | 54 · Surgery only | $478.63 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $100.00 Typical High $112.20 | Professional | 55 · Aftercare only | $95.50 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $66.07 Typical High $74.13 | Professional | 56 · Pre-op care only | $64.57 | $66.07 | $74.13 |
Where Louisiana sits
The same service costs 6.1 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 $8,625MT $1,416
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.