How much rates vary
Facilitymedian $1,380 · 10th to 90th $562 to $3,162Professionalmedian $251 · 10th to 90th $178 to $302
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 $446.68 Median $1,513.56 Typical High $3,548.13 | Facility | None | $446.68 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $288.40 | Professional | None | $251.19 | $263.03 | $288.40 |
BCBS Louisiana Setting Facility Modifier None Typical Low $954.99 Median $1,412.54 Typical High $3,162.28 | Facility | None | $954.99 | $1,412.54 | $3,162.28 |
BCBS Louisiana Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $295.12 | Professional | None | $239.88 | $295.12 | $295.12 |
Christus Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $1,584.89 | Facility | None | $501.19 | $794.33 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $323.59 | Professional | None | $181.97 | $213.80 | $323.59 |
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 $151.36 Median $199.53 Typical High $338.84 | Professional | None | $151.36 | $199.53 | $338.84 |
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 $125.89 Median $128.82 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $52.48 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $194.98 Typical High $218.78 | Professional | 54 · Surgery only | $190.55 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.90 Typical High $43.65 | Professional | 55 · Aftercare only | $38.02 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $26.30 Typical High $28.84 | Professional | 56 · Pre-op care only | $25.12 | $26.30 | $28.84 |
Where Louisiana sits
The same service costs 7.3 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 $4,136MT $564
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.