How much rates vary
Facilitymedian $3,631 · 10th to 90th $955 to $8,511Professionalmedian $676 · 10th to 90th $468 to $813
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 $676.08 Median $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $776.25 | Professional | None | $588.84 | $691.83 | $776.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $9,772.37 | Facility | None | $3,235.94 | $3,801.89 | $9,772.37 |
BCBS Louisiana Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $776.25 | Professional | None | $630.96 | $776.25 | $776.25 |
Christus Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
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 $478.63 Median $549.54 Typical High $870.96 | Professional | None | $478.63 | $549.54 | $870.96 |
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 $398.11 Median $524.81 Typical High $912.01 | Professional | None | $398.11 | $524.81 | $912.01 |
6 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 $331.13 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $331.13 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $154.88 | Professional | 53 · Discontinued | $134.90 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $524.81 Typical High $575.44 | Professional | 54 · Surgery only | $501.19 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $100.00 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $69.18 Typical High $77.62 | Professional | 56 · Pre-op care only | $67.61 | $69.18 | $77.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 59 · Distinct service | $478.63 | $478.63 | $478.63 |
Where Louisiana sits
The same service costs 5.9 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 $8,723MT $1,483
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.