How much rates vary
Facilitymedian $1,148 · 10th to 90th $537 to $3,388Professionalmedian $269 · 10th to 90th $191 to $324
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 $269.15 Median $275.42 Typical High $309.03 | Professional | None | $269.15 | $275.42 | $309.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $954.99 Median $1,445.44 Typical High $3,388.44 | Facility | None | $954.99 | $1,445.44 | $3,388.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $309.03 | Professional | None | $251.19 | $309.03 | $309.03 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
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 $190.55 Median $223.87 Typical High $346.74 | Professional | None | $190.55 | $223.87 | $346.74 |
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 $158.49 Median $213.80 Typical High $363.08 | Professional | None | $158.49 | $213.80 | $363.08 |
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 $138.04 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $208.93 Typical High $229.09 | Professional | 54 · Surgery only | $199.53 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $41.69 Typical High $46.77 | Professional | 55 · Aftercare only | $39.81 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $27.54 Typical High $30.90 | Professional | 56 · Pre-op care only | $26.92 | $27.54 | $30.90 |
Where Louisiana sits
The same service costs 7.0 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 $4,147MT $590
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.